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Menopause is defined as the day youve gone 12 months without any periods, but perimenopause starts years before that, often in your 40s

And thats where the other thyroid medications come in Many patients do very well using combination thyroid medications that contain both T4 and T3, not just T4 medication alone

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Nausea and Vomiting Nausea is the most commonly reported side effect of semaglutide, with around 44% of people using Wegovy, experiencing nausea during clinical trials resulting in 6.8% of patients permanently discontinuing treatment as the result of adverse reactions