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While not legally required by TSA, this letter provides protection if security personnel question whether your medication is legitimate

You start treatment, everything seems fine, and then shedding begins weeks later

The primary contraindications are a personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2 (MEN2) based on thyroid C-cell tumor findings in rodent studies at suprapharmacologic doses, with no established causation in humans at clinical doses but a sufficient concern for the contraindication to stand

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When appropriate, compounded medications may be incorporated as part of a broader plan designed to support steady, sustainable progress