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Safety & Key Considerations Common GI adverse effects (class-related) Important risks: pancreatitis, AKI, gallbladder disease, hypoglycemia Boxed warning: thyroid C-cell tumors Contraindicated in MTC and MEN2 Clinical Takeaways Do not combine with other GLP-1 receptor agonists Represents a major shift toward non-injectable incretin therapy Likely to compete with agents like Semaglutide and Tirzepatide May significantly expand real-world uptake, especially in patients hesitant about injections Big Picture This isnt just a new drug it signals a paradigm shift

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However, despite its frequent use, evidence of its psychometric performance is currently lacking

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