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Get screened family history of thyroid cancer, pancreatitis history, current medications

Pyridoxine can serve as a buffer, allowing faster dose escalation while keeping nausea within tolerable limits

These can present as: Urticaria (hives) raised, itchy wheals that may appear anywhere on the body Maculopapular rash flat or slightly raised red spots, sometimes with small bumps Generalised pruritus without visible rash In rare instances, patients may develop angioedema (swelling of deeper skin layers, particularly around the face, lips, or throat) or anaphylaxis , which requires immediate medical attention and discontinuation of treatment

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