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Available from: Sjstrm L, Lindroos A-K, Peltonen M, et al

[2] [5] While a cause-and-effect relationship has not been established for development of a new primary malignancy, breast cancer has been reported in adults receiving spironolactone

They should then start the lowest dose of the alternative once-weekly GLP-1 receptor agonist and consider a lower maintenance dose

Start upstream with the genetic context

The only reason we seem to be upset as a society about the long term use of these medications is weight bias
