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Pancreatitis and Medullary Thyroid Carcinoma (MTC): while existing evidence has not established a definitive causal link, screening for and avoiding use in patients with a history of pancreatitis, MTC, or a family history of Multiple Endocrine Neoplasia type 2 (MEN2) remains a mandatory precautionary measure (144148)

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Any degradation is then a factor of handling and time, not a question of initial quality

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