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Only rodent studies have shown an increased risk of medullary thyroid carcinoma

Despite compensatory upregulation of sodium-dependent citrate transporters (NaCitT) in advanced tumors, accelerated citrate consumption consistently outpaces extracellular uptake (75)

Systematic Review of the Use of Intravenous Ketamine for Fibromyalgia

That logic is self-defeating: If GLP-1s really are worth that much to Americans health, then they are worth paying the market price and worth enough that other suppliers will want to introduce competitors to meet Americans needs