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These peptides are being peddled heavily in fitness spaces, full of risk taking individuals when it comes to experimenting with substances in their bodies (and full of people lying about their usage status), and trust is being diverted from medicine to other groups in these times

Thyroid C-Cell Tumors: In mice and rats, semaglutide (the active ingredient in Ozempic and Ozempic) caused an increase in thyroid C-cell tumors, including medullary thyroid carcinoma (MTC)

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doi: 10.1371/journal.pone.0147669

For GLP-1 treatment, any use outside the licensed criteria is off-label