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Ciprofloxacin may also interact with blood thinners like warfarin, increasing the risk of bleeding

However, patients considering this therapy frequently ask about thyroid health and the risk of nodule formation, a concern that deserves clear, evidence-based answers

9 While SEM at higher doses than 1.0 mg are being used in Canada, there is also the potential for increased cost and risks associated with the higher, 2.0 mg once-weekly dose without a comprehensive evidence review for its benefits

Choice of Glucose-Lowering Therapy Healthy lifestyle behaviors, diabetes self-management education and support (DSMES), avoidance of therapeutic inertia, and social determinants of health should be considered in the glucose-lowering management of type 2 diabetes

Discontinue permanently if suspected or confirmed[5]
