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Importantly, tirzepatide carries a boxed warning for risk of thyroid C-cell tumors, including medullary thyroid carcinoma (MTC), and is contraindicated in patients with a personal or family history of MTC or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN2)
This is particularly true for those with Hashimotos, scleroderma, and rheumatoid arthritis
Incapsula incident ID: 679000180043282950-132997205713159313
A 2011 study in Italy found that inflammatory bowel disease (IBD) is associated with l-carnitine deficiency
Bell et al., 1983b)
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