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For patients with stable, well-controlled Hashimoto's disease on established levothyroxine therapy, NICE guidance (NG145) typically recommends thyroid function testing annually

Sometimes, a medication adjustment or checking for hormone imbalances is needed, including exploring treatments for fatigue and weight gain

Further exploration is required as certain patients have reported muscle pain with Semaglutide

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Monitoring : Regular monitoring of blood glucose levels, hemoglobin A1c labs, weight loss, and any potential side effects during the transition period are critical