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Communications Telephone communications with us, including calls with any of our agents are routinely monitored and/or recorded

However, clinical studies indicated that GLP-1 treatment had little effect on hepatic steatosis in some NAFLD patients, suggesting that GLP-1 resistance may occur in these patients

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#### Indications: **Vitamin B12 Deficiency:** Treatment of vitamin B12 deficiency due to malabsorption, dietary insufficiency, or increased physiological needs (e.g., pregnancy, lactation)

Routine monitoring of serum calcitonin or using thyroid ultrasound is of uncertain value for early detection of MTC in patients treated with (OZEMPIC OR RYBELSUS OR WEGOVY) [see Contraindications (4), Warnings and Precautions (5.1)]. Mounjaro and Zepbound have the following boxed warning (2025) (formerly known as a black box warning), related to Tirzepatide the main ingredient in Mounjaro and Zepbound, set forth below: WARNING: RISK OF THYROID C-CELL TUMORS In both male and female rats, tirzepatide causes dose-dependent and treatment-duration-dependent thyroid C-cell tumors at clinically relevant exposures

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