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Consult a licensed clinician before making any health-related decision.

Each of these alternatives offers a different approach to achieving lighter skin and should be selected based on individual skin types, conditions, and desired outcomes

Consider referral to an endocrinologist for: Pregnancy planning or current pregnancy Persistently abnormal TSH despite adherence to treatment Presence of thyroid nodules, goiter, or compressive symptoms Rapid changes in thyroid size or function Diagnostic uncertainty or complex thyroid disease Patients with diabetes and pre-existing retinopathy who are starting semaglutide should also coordinate with an ophthalmologist for appropriate monitoring