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The primary concern regarding GLP-1s and the thyroid isn't about general "sluggishness" or common thyroid symptoms, but rather a specific and rare type of thyroid cancer called Medullary Thyroid Cancer (MTC)
[29] Scaglione F, Panzavolta G
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5 This retrospective analysis of 14,825 individuals with thyroid-related symptoms who were tested by Vibrant and followed for a two-year period revealed that anti-TPO antibodies could be measured prior to the detection of the systemic autoimmune disease antibodies, ANA and anti-ENA , by 253 and 227 days, respectively
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