No causal relationship has been established in humans to date, and population-level data from large GLP-1 user cohorts have not shown a clear increase in MTC incidence.[5] That said, there are defined contraindications: GLP-1 therapy is not appropriate for patients with a personal or family history of MTC or Multiple Endocrine Neoplasia type 2 (MEN2 syndrome)
However, emerging research suggests potential benefits for women with polycystic ovary syndrome (PCOS), a condition characterised by insulin resistance and multiple ovarian follicles
The SELECT cardiovascular outcomes trial, whose results were fully incorporated into regulatory labeling by 2024, directly catalyzed a new wave of prescribing for semaglutide in cardiology settings, materially broadening the addressable API volume requirement
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This allowed for assessment of the impact of long-term use, and contextualized use as compared to clinical trials