Type 2 Diabetes Type 1 Diabetes Gastroparesis or chronic GI conditions Thyroid Nodules or Medullary Thyroid Carcinoma (MTC) Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) Pancreatitis or history of pancreatitis Gallbladder disease or gallstones Kidney disease or impaired renal function Cardiovascular Disease Liver Disease History of depression or suicidal ideation Pregnancy or breastfeeding Other None of these

Insulin or other diabetes medications (e.g., sulfonylureas) Medications affecting gastrointestinal motility or absorption Thyroid medications Psychiatric medications (SSRIs, antipsychotics) None of these