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There are certain exceptions where a patient might start GLP-1 therapy before full thyroid optimization

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Baggio et al., Plasma levels of DPP4 activity and sDPP4 are dissociated from inflammation in mice and humans, Nat
"Effects of semaglutide on chronic kidney disease in patients with type 2 diabetes." New England Journal of Medicine 391.2 (2024): 109-121
