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Warnings and Precautions 5.1 Risk of Thyroid C-cell Tumors In both genders of rats, exenatide extended-release caused a dose-related and treatment-durationdependent increase in the incidence of thyroid C-cell tumors (adenomas and/or carcinomas) at clinically relevant exposures compared to controls [see Nonclinical Toxicology (13.1)]

Van Liefferinge J, Bentea E, Demuyser T, et al

Effect of Semaglutide Versus Dulaglutide on Glucose Variability in Patients with Type 2 Diabetes Uncontrolled on Basal Insulin: A 16-Week, Open-Label, Randomized, Phase 4, Noninferiority Trial

Tatsumi, R

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This can happen because you are eating less and your body is adjusting to reduced calorie intake