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A large observational study or registry would be needed to fully rule it out, but given how uncommon MTC is (1 in 50k maybe) and how many have now taken GLP-1 RAs (millions), likely any major signal would have emerged by now
[39] Moreover, we declined the applicant's request to remove the anterior and lateral approaches from the descriptor and, instead, stated that the anterior and lateral approaches should remain in the descriptor and clarified our intent that the descriptor address all potential surgical approaches