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Importantly, these medications carry a boxed warning about thyroid C-cell tumors observed in rodent studies and are contraindicated in patients with personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2)
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Fatigue can still occur as a symptom of low blood sugar (hypoglycemia) or of digestive side effects such as nausea, vomiting, or diarrhea, especially if these cause dehydration
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