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dose reduction of these concomitant agents is often necessary Thyroid C-cell tumors : Based on rodent studies, GLP-1 receptor agonists carry a boxed warning regarding medullary thyroid carcinoma risk and are contraindicated in patients with personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2 Intestinal obstruction/ileus : Rare cases have been reported with some agents