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2023 Oct;31(5):2173-99 Raghuvaran N, Sardar P, Sahu NP, Shamna N, Jana P, Paul M, Bhusare S, Bhavatharaniya U

Ultimately, initiating GLP-1 therapy before full thyroid optimization is a clinical judgment call that should weigh the urgency of metabolic control against the risk of confusing the symptoms or destabilizing thyroid function

I'm begining my third month and the day of no injection my symtoms are the different than on the day of injection

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Initial Treatment: For severe cases, doses can be 1000 mcg to 2000 mcg