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Patients on stable levothyroxine doses who add semaglutide typically maintain their thyroid medication without adjustment, though ongoing monitoring ensures continued balance

This may lead to a susceptibility to viral, bacterial, and parasitic gut infections

As a brand-name medication, Ozempic is typically one of the highest-cost GLP-1 options

rs140226575) that is associated with approximately 30% greater glycemic response (Dawed et al., 2023)

So, at the threshold, the pharmacy would need to establish that i) it does not compound tirzepatide regularly or in inordinate amounts, and ii) its compounded tirzepatide is not merely a copy of Zepbound or Mounjaro