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Contraindicated in patients with a history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia Syndromes (MEN 2) Consult your healthcare provider if you have a history of pancreatitis, as the medication may increase risk Serious side effects may involve hypoglycemia, kidney issues, or allergic reactions 1,5 Not suitable for individuals with type 1 diabetes or diabetic ketoacidosis Medication interactions may occur with those on insulin, oral diabetes medications, oral contraceptives, and blood thinners

Biosci Rep (2018) 38(4):BSR20171284

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Additionally, GSH precursors like N-acetylcysteine (NAC) have shown promise in enhancing endogenous GSH synthesis and minimizing oxidative damage in diabetes