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Plateaus can be reached way before significant weight loss is achieved, especially with severely or morbidly obese patients who use these medications as first line treatment
F.WakuiS.EndouH.SakuraiH
There is a strong association between the Carney complex and endocrine disease, including primary pigmented nodular adrenocortical disease (PPNAD)-associated Cushing syndrome, acromegaly, elevated prolactin, thyroid abnormalities, testicular large-cell calcifying Sertoli cell tumors, ovarian cystadenomas, and pancreatic lesions[99]
Eli Lilly, the manufacturer, is working to stabilize supplies, but patients are currently facing delays and higher costs, with some opting for alternative GLP-1 agonists like semaglutide (Ozempic) as temporary substitutes
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