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It is unknown whether RYBELSUS causes thyroid C-cell tumors, including medullary thyroid carcinoma (MTC), in humans as human relevance of semaglutide-induced rodent thyroid C-cell tumors has not been determined RYBELSUS is contraindicated in patients with a personal or family history of MTC and in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)

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Its broadly sweeping at the moment but will get stratified more and more by state of health, said Dr Ambrish Mithal, chairman and head of endocrinology and diabetes at Max Healthcare