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Hormonal factors particularly affect women, as menstrual cycles, birth control, and underlying hormonal conditions can influence treatment response

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however, relamorelin, a ghrelin agonist, reduced nausea and vomiting in patients with this disorder

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Patients with a personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2 should discuss these conditions with their clinician before starting treatment

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