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Document clinical contraindication to semaglutide: Persistent nausea or vomiting preventing dose escalation beyond initial doses, a documented thyroid concern (e.g., personal or family history of MEN 2 or medullary thyroid carcinoma), or another clinically documented intolerance can serve as the basis for the exception request

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(As expected, the unsaturated fatty acid oleate did not cause ER stress.) Palmitate is thought to elicit ER not by disrupting protein folding per se but by altering ER membrane fluidity, activating the UPR stress sensors through their transmembrane domains (Volmer, van der Ploeg, & Ron, 2013)

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