GLP-1 Questionnaire

Do you have a personal or family history of MTC (medullary thyroid carcinoma)?*

Do you have a personal or family history of MEN2 (multiple endocrine neoplasia type 2) ?*

Do you have a history of Gallbladder or Pancreas disease?*

Are you pregnant or breastfeeding?*

Do you have type 1 Diabetes or diabetic retinopathy?*