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Exercise caution, however

1 Introduction Diabetes mellitus (DM) is a metabolic disease characterized by hyperglycemia (elevated blood glucose), which is caused by a lack of insulin or failure of insulin, resulting in cells being unable to absorb glucose, thus increasing blood glucose levels

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Healthcare professionals should be aware that: Patients with personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) should be carefully evaluated before prescribing Routine calcitonin measurement is not recommended for patients without risk factors, as per UK guidance [23] [24] Patients should be counselled about symptoms of thyroid tumours, including a neck mass, dysphagia, dyspnoea, or persistent hoarseness The theoretical risk must be balanced against the proven cardiovascular and metabolic benefits of these medicines in appropriate patient populations

These are compounded medications, dosed and monitored by our provider