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Absolute contraindications include: Personal or family history of medullary thyroid carcinoma : These medications carry a boxed warning regarding thyroid C-cell tumors based on rodent studies Multiple endocrine neoplasia syndrome type 2 (MEN 2) : Increased risk of medullary thyroid carcinoma Previous serious hypersensitivity reaction : To semaglutide, tirzepatide, or any formulation component Pregnancy considerations: These medications are not recommended during weight management in pregnancy due to limited safety data and potential fetal risks

How Immunocal Is Typically Used Immunocal is commonly mixed with cool or room-temperature liquids and consumed shortly after preparation