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The 2 mg starting step is not expected to deliver a maintenance-level effect its only job is to introduce the molecule gently

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doi: 10.1210/endo.133.6.8243312 16 GasbjergLSHelstedMMHartmannBJensenMHGabeMBNSparre-UlrichAHet al

Routine monitoring of serum calcitonin or using thyroid ultrasound is of uncertain value for early detection of MTC in patients treated with WEGOVY [see Contraindications ( 4 ), Warnings and Precautions ( 5.1 )]

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