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However, semaglutide has a black-box warning and is contraindicated if you have personal or family history of medullary thyroid carcinoma or MEN2 syndrome

The FDA warns they pose serious safety risks, including allergic reactions

Scientists dont exactly know why this reaction happens but suspect that one reason is that the killed spirochetes break down and release toxins, and our immune systems response to this spill is what causes the symptoms of the Jarisch Herxheimer reaction

Dehydration can become dangerous quickly, potentially leading to acute kidney injury

Incomplete documentation is a primary cause of denials