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Prescribing approach Weekly injections for most GLP-1 protocols Start low, titrate based on response and side effects Ongoing monitoring with our clinical team in Oswego Contraindications (examples) We do not initiate GLP-1 therapy if you have, for example: Personal or family history of medullary thyroid cancer MEN 2 (Multiple Endocrine Neoplasia type 2) Pregnancy or plans to become pregnant History of pancreatitis or severe gastroparesis Full screening happens at consultation