The problem is most of the information online is aimed at the general population, not somebody trying to swim, ride and run for hours every week
These medications are contraindicated in patients with: Personal or family history of medullary thyroid carcinoma (MTC) Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) Severe gastrointestinal disease They are not recommended in patients with severe gastrointestinal disease (e.g., gastroparesis)
[2] However, elevated MMA is not conclusive, as it is seen in people with B 12 deficiency, but also in elderly people who have renal insufficiency, [28] and elevated homocysteine is not conclusive, as it is also seen in people with folate deficiency
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