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These are usually mild and self-limiting

Study Selection The trials we included met the following criteria: (1) RCTs that compared GLP-1 receptor agonist with a placebo or active control (other antidiabetic drugs or insulin), (2) patients with type 2 diabetes, type 1 diabetes, prediabetes, overweight or obesity, (3) with durations of at least 24 weeks, and (4) reported the occurrence of at least one case of various thyroid disorders as adverse events

Dosing schedules for GLP-1 medications are established through clinical trials that evaluate efficacy, safety, and patient adherence

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It also explains cancellation and refund limits

doi: 10.1073/pnas.1102938108 8 SalonenASalojarviJLahtiLde VosWM