In Europe, recent shortages of Type IV patch test allergens further contribute to lack of testing availability in some settings, potentially prolonging time to diagnosis and symptom control for those with suspected ACD [42, 43, 45,46,47]
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Similarly, patients with Multiple Endocrine Neoplasia syndrome type 2 should not use this medication, as this genetic condition predisposes individuals to medullary thyroid carcinoma among other endocrine tumors
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