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A few get both at different points in the dose escalation

Routine monitoring of serum calcitonin or using thyroid ultrasound is of uncertain value for early detection of MTC in patients treated with MOUNJARO [see Contraindications (4 ) and Warnings and Precautions (5.1 )]

A useful medical letter might include: Your full name and date of birth matching your passport or travel documents The generic and brand names of your medication (e.g., semaglutide/Wegovy) Dosage, frequency, and route of administration Confirmation that the medication is medically necessary The clinician's name, contact details, and signature A recent date of issue Note that GPs may charge for providing travel letters as this is not covered by NHS services