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The FDA label carries a boxed warning regarding thyroid medullary carcinoma risk, contraindicating use in patients with personal or family history of this condition or Multiple Endocrine Neoplasia syndrome type 2

However, less than 2 weeks later, after intense public backlash and a lawsuit from compounding pharmacies, the FDA announced to the Alliance for Pharmacy Compounding that it would reevaluate their decision and not take action against pharmacies who continue selling the compounded version

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There is mild to moderate swelling for the first few days, as well

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