A significant number of patients with MS have diabetes, so excluding these patients may help with less confounded results, but can also significantly impact generalizability, Shirani said
Patients should be counseled about the potential risk for MTC with this drug and the symptoms of thyroid tumors (e.g., a mass in the neck, dysphagia, dyspnea, persistent hoarseness)
She says she's not had patients pursue them for those reasons, or misuse them to the point where their body mass index falls to below normal
And some parents have expressed concern about their kids taking a relatively new medication for weight loss when there isn't yet long-term data
Dose reduction to minimum effective dose Rather than tapering to zero, you taper to the lowest dose that maintains your weight