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S Afr J Bot 148:360378 Al-Ghadeer H, Al-Amry M (2021) Ocular complications resulting from the use of traditional herbal medicine in central Saudi Arabia: a review

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A thorough medical history review by a qualified prescriber is essential to rule out contraindications, including personal or family history of medullary thyroid cancer, multiple endocrine neoplasia type 2, pancreatitis, or severe renal impairment

But medullary thyroid cancer, specifically, is rare

Furthermore, no convincing evidence currently supports a direct association between gut microbiota composition and the risk of GLP-1 receptor agonist-associated pancreatitis