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Dose escalation periods: When increasing from 0.25 mg to 0.5 mg (typically after 4 weeks), and subsequently to 1 mg or 2 mg if required, patients may experience a temporary resurgence of digestive symptoms

It's completely independent

249 Many studies investigating the effect of the KD on tumor metastasis indicate a metastasis-inhibiting effect of the KD

The best available human evidence does not show that GLP-1 receptor agonists cause common thyroid cancers or even has an effect if you have developed a thyroid cancer, they wrote in a white paper released last month