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However, FDA inspections have identified quality control concerns, and the parent company has a documented history of regulatory issues

Since insulin therapy often indicates more advanced disease progression, greater severity, or additional comorbidities, which may lead to a higher risk of intestinal obstruction, and there was no statistically significant difference in intestinal obstruction risk between GLP-1RAs and other anti-diabetic medications (e.g., SGLT2 inhibitors, metformin, sulfonylureas, thiazolidinediones, DPP-4 inhibitors), the observed reduction relative to insulin does not necessarily suggest a protective effect of GLP-1RAs against intestinal obstruction

They identified 70 patients who had elevated calcitonin levels during the study, of which 53% underwent additional diagnostic testing without any additional thyroid cancer diagnoses
23 Not all patients experience benefit from GLP-1RAs, with some patients experiencing increased inflammation and more flares

From unpleasant gastrointestinal side effects to serious side effects like thyroid cancer and pancreatitis, understanding the whole picture is essential

Behav Brain Res 2008;195:198213
