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If you have a personal/family history of medullary thyroid carcinoma (MTC) or MEN2, it is a hard stop: GLP-1 medicines like semaglutide (per labelling) are contraindicated in people with a personal or family history of MTC or MEN2

References Mller, T

Influence of intravenous administration of growth hormone releasing peptide-2 (GHRP-2) on detection of growth hormone doping: growth hormone isoform profiles in Japanese male subjects

Must stop medication and seek urgent care

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