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Individuals with a personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia type 2 (MEN2) should discuss this with their clinician before considering any GLP-1based therapy, and should be alert to symptoms such as a neck lump, hoarseness, or difficulty swallowing
A GP did test my levels again when I reported my symptoms returning before he would agree to me having more frequent injections than the usual 3 monthly
Oral BPC-157 can be useful for gut mucosal support, but it should be paired with attention to food triggers, alcohol intake, NSAID use, stress physiology, microbiome health, sleep, and appropriate GI evaluation when symptoms warrant it
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