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doi: 10.1016/j.gene.2016.05.018 [DOI] [PubMed] [Google Scholar] 165.de la Monte SM, Re E, Longato L, Tong M

While some individuals may tolerate treatment without immediate complications, skipping laboratory testing can result in: Missed contraindications (e.g., thyroid abnormalities, pancreatitis risk) Undetected metabolic conditions (e.g., insulin resistance, liver disease) Poorly tailored dosing and monitoring There are limited scenarios where recent lab data (within 36 months) may suffice, but initiating treatment without any clinical baseline is generally considered incomplete care

Please notify your doctor ASAP if you develop trouble swallowing, hoarseness, a lump or swelling in your neck, or shortness of breath

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