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All options should be on the table, but there are significant ethical concerns with initiating medication for addiction that might not be there for long term, said Leo Beletsky, a professor of law and health sciences at Northeastern University in Boston

Situations where peptide therapy is typically deferred or used cautiously include pregnancy, breastfeeding, history of certain cancers, uncontrolled autoimmune disease, severe liver or kidney disease, and active eating disorders

This is because the dose of the medication needs to be slowly increased to the full dose over the first 9-16 weeks

Japanese clinical practice guideline for diabetes 2016

4 patients (0.2 cases per 100 patient-years) receiving placebo

"Siento que mi cuerpo simplemente no puede seguir el ritmo de los tratamientos."