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Non-candidates include: You have a personal or family history of Medullary Thyroid Carcinoma (Thyroid Cancer) Multiple Endocrine Neoplasia Syndrome type 2 You are pregnant or plan to become pregnant while taking this medicine

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Furthermore, signs such as painful urination , blood in urine, frequent urination , or associated gastrointestinal issues warrant immediate attention

Some providers recommend slowing the taper at this point, spending an extra week or two at the mid-range dose if appetite is particularly challenging

Keynan, J