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When activated, MC1R triggers a signaling cascade: MC1R activation cAMP increase cAMP activates MITF (master melanocyte transcription factor) MITF upregulates tyrosinase and related enzymes Pheomelanin production shifts to eumelanin production This last point is the key insight

GLP-1RAs may also delay gastric emptying, potentially leading to retained gastric contents and aspiration risk

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avoiding high-fat foods Temporary dose reduction Stepping back to previous dose if symptoms severe Antiemetic support When appropriate under medical supervision Contraindications and Precautions Certain populations should exercise particular caution with cagrilintide: Personal or family history of medullary thyroid carcinoma Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) Severe gastrointestinal disease History of pancreatitis Pregnancy or breastfeeding These contraindications overlap significantly with those for GLP-1 receptor agonists like tirzepatide, making combination approaches even more critical to approach cautiously

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