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All currently available GLP-1 medications carry the same boxed warning regarding thyroid C-cell tumors based on animal studies, and none have demonstrated superiority or increased risk specifically in patients with autoimmune thyroid disease

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In North Carolina , the North Carolina Medical Board is equally clear that an online or telephonic evaluation solely by questionnaire does not constitute an acceptable standard of care. A proper evaluation by a licensed provider is legally required before any GLP-1 prescription