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Key Points 95% of patients with differentiated papillary or follicular thyroid cancer (DTC) and 4550% of those with medullary thyroid cancer (MTC) survive in the long term However, the probability that these patients will experience tumour recurrence, even after several years in clinical remission, is not negligible Detectable levels of serum thyroglobulin are indicative of persistent or recurrent DTC Thyroglobulin stimulation with exogenous recombinant human TSH is preferable to withdrawal of suppressive levothyroxine therapy, as the latter approach can cause hypothyroidism, which severely affects patients' quality of life The same laboratory, and possibly the same thyroglobulin assay, should be used for the follow-up of a patient with DTC, to account for variations in assay specificity and sensitivity Calcitonin is the most reliable tumour marker for diagnosis and follow-up of MTC
For injection-to-tablet switch (Wegovy Injection/Mounjaro Injection Wegovy Tablets) The published guidance follows the same logic: take the final injection as normal, wait seven days, then start the tablet on what would have been the next scheduled injection day

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