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When you introduce a GLP-1 medication, you are adjusting the metabolic thermostat while the thyroid "control unit" is already malfunctioning
Discontinuations attributed to adverse events occurred in 12.2% of those receiving 9 mg, 18.2% of those receiving 12 mg, and 4.0% of placebo recipients, with higher BMI at baseline associated with increased likelihood of discontinuation
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Take the late dose if within the window and resume your normal schedule the following week
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