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Do not take Wegovy pills if you: Have a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2) Are pregnant, planning to become pregnant, or breastfeeding all GLP-1 medication should be stopped at least 2 months before attempting to conceive Are allergic to semaglutide, SNAC coating, or any other ingredient in the tablet Have severe gastroparesis or significant gastrointestinal disease Have a history of vision problems related to your diabetes Have pancreatitis Tell your prescriber about any medication you are taking including vitamins , supplements and over the counter medications, particularly if you take any of the following: Levothyroxine : thyroid hormone levels should be monitored Warfarin or other anticoagulants : oral Wegovy may affect INR through dietary changes and changes in gastric motility Anti-epilepsy medicines: some epilepsy medicines such as phenytoin require careful monitoring as they have a narrow dosing range Ciclosporin : narrow therapeutic index

If you have any questions or concerns you can contact the college at: 200-1765 West 8th Ave Vancouver, BC V6J 5C6 Canada

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Whether tirzepatide provides additional benefit beyond the weight loss effect for thyroid autoimmunity specifically has not been established