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Therefore, this study adds to the available evidence about GLP1 receptor agonist use and risk of thyroid cancer, and supports the conclusion of a recent European Medicines Agency investigation that the available evidence does not support a causal association between GLP1 receptor agonist use and thyroid cancer.9 In our study, drug use in the main analysis was defined according to the observational analogue of intention to treat (ie, from the first filled prescription onwards) to provide the least conservative definition