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As with any supplement taken alongside a prescription, it is worth running it by your doctor or pharmacist first, and thinking of it as a possible support rather than a treatment for side effects or a replacement for your prescribed care

The SmPC also notes that rodent studies showed C-cell thyroid tumours, though the human relevance is unknown

If you are planning a pregnancy, work closely with your OBGYN and endocrinologist to safely discontinue the medication

Nonetheless, they can be considered as a reasonable secondline addon therapy to metformin, specifically in situations where a more substantial reduction in HbA1c levels is necessary