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What we check before starting a GLP-1, regardless of cancer history: Personal and family history of medullary thyroid cancer or MEN 2 Personal history of pancreatitis or significant gallbladder disease Current eating disorder symptoms Other medications that may interact Pregnancy plans, since these medications are not for use during pregnancy Whether age- and risk-appropriate cancer screening (mammogram, colonoscopy, cervical) is up to date Three things we try not to assume: That a strong family history of breast cancer changes someone's GLP-1 candidacy by itself

Reduces hyperpigmentation Did you know that vitamin B12 can lead to darkening of the skin

Gier B, Matveyenko AV, Kirakossian D et al