If histology suggests venous invasion, as it did in our case, there is a potential risk of intravenous recurrence and distant metastasis that can progress to a massive tumor thrombus extending to the heart, regardless of the tumor subtype
For individuals with both obesity and diabetes, surgery has shown to be more effective in preventing cardiovascular disease-related deaths compared to GLP-1s [14]
D., & Paschalis, V
Contraindications include personal or family history of medullary thyroid cancer, multiple endocrine neoplasia type 2, or severe renal/hepatic impairment
Ketamine also has serious side effects for some patients, including changes in heart rate or blood pressure, feelings of being disconnected from ones thoughts or self and addiction
"Efficacy and safety of novel twincretin tirzepatide a dual GIP and GLP-1 receptor agonist in the management of type-2 diabetes: A Cochrane meta-analysis"