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In addition, hyperinsulinemia is responsible for the increase in the androgen production through both the direct stimulation of insulin receptors and the cross-reaction with Insulin-like Growth Factor-1 (IGF-1) receptors expressed on thecal cells [14]

PlexusDx recommends TSH testing 6 to 12 weeks after beginning GLP-1 therapy to assess whether levothyroxine adjustment is actually needed

[DOI] [PubMed] [Google Scholar] 93.D'Amico M., Di Filippo C., Marfella R., et al
Hormonal disorders such as untreated hypothyroidism, Cushing's syndrome, or polycystic ovary syndrome (PCOS) can impair metabolic responses to semaglutide

Burke OM, Frerichs VR, Garcia DF, Stone RC, Lev-Tov H, Czarnowicki T, et al

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