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A systematic review executed on animal and human studies alongside case studies (93) demonstrated a dearth of human evidence on the excretion of GLP-1 agonists in breast milk, even though GLP-1 agonists, being large peptides, could be precisely present in human milk, although the exact amount is unclear (89)

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

Regular monitoring of thyroid function tests (TSH and free T4) is therefore essential when initiating or adjusting Ozempic therapy in patients with Hashimoto's disease

If weight loss is within 80% of the expected rate for your dose, microdosing may be working adequately

Its given via a daily injection with a starting dose of 0.6mg during the first week

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