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In scientific tests with rodents, RYBELSUS® and medicines that function like RYBELSUS® prompted thyr oid tumors, together with thyr oid most cancers. It's not at all identified if RYBELSUS® will cause thyr oid tumors or simply a type of thyr oid cancer termed medullary thyr oid carcinoma (MTC) in people todayTopiramate is prescribed off-label