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Contraindications include: Personal or family history of medullary thyroid carcinoma, multiple endocrine neoplasia syndrome type 2, history of pancreatitis, pregnancy, and certain other conditions

doi: 10.1038/ijo.2008.102
This is personalised, root-cause care grounded in nutritional biochemistry and functional medicine

What would you recommend that they first take a look at and really unpack before jumping to this medication

Keep the bedroom cold, 65 to 68 degrees Fahrenheit is optimal for most people