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Patients with pre-existing gastrointestinal conditions, including GERD, peptic ulcer disease, or gastroparesis, should have closer monitoring during GLP-1 initiation and dose escalation

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Pregnant or breastfeeding women Individuals under 18 years of age Personal or family history of medullary thyroid carcinoma (MTC) Multiple Endocrine Neoplasia syndrome type 2 (MEN2) History of pancreatitis (discuss with physician) Severe gastrointestinal disorders including gastroparesis Known hypersensitivity to GLP-1 receptor agonist class components Those on insulin or sulfonylureas without dose adjustment plan from their physician Important: Always consult your doctor before starting Medvi medicine