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Diabetes Care 31(5):845851

It is also approved for reducing the risk of major adverse cardiovascular events in patients with both Type 2 Diabetes and a diagnosis of heart disease

Problems: Not subject to US safety regulations Products not FDA-approved for US market Counterfeit medications common Customs may seize shipments No legal recourse if product causes harm Improper storage during international shipping May violate US import laws Common Countries: India China Mexico Canada (some legitimate but many questionable) Various Caribbean nations Even if some overseas pharmacies are legitimate in their countries, importing prescription medications for personal use occupies a legal gray area and lacks safety oversight

Thyroid cancer is 3 times more common in women than men, though the reason is unclear