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GLP-1 agonists should also be avoided by those with a history of thyroid cancer or multiple endocrine neoplasia syndrome type 2 (MEN 2), as these conditions may increase the risk of medullary thyroid carcinoma

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Vaccination should never delay surgery and, in cases of emergency splenectomy or where vaccinations are not possible, they should be administered two weeks post-splenectomy[17]

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