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It is unknown whether RYBELSUS causes thyroid C-cell tumors, including medullary thyroid carcinoma (MTC), in humans as the human relevance of semaglutide-induced rodent thyroid C-cell tumors has not been determined (5.1, 13.1)
Unlike the potent TGR5 agonists, DCA and LCA, we could not detect any effects of TMCA on cAMP levels in the STC-1 cells, NCI-H716 cells, and mouse intestinal organoids, suggesting that the increased ileal TMCA observed in the mice after T3 treatment might not act via TGR5-mediated pathway
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