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This interaction doesn't mean the drugs are incompatibleit means your TSH and free T4 levels must be rechecked 68 weeks after starting semaglutide, and again after any dose escalation

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[DOI] [PubMed] [Google Scholar] 24.Nyberg J, Jacobsson C, Anderson MF, Eriksson PS

Sleep and Neuropsychiatric Effects SSRIs exert heterogeneous sleep effects, with fluoxetine and sertraline generally activating sleep, while paroxetine remains sedating and is sometimes leveraged in patients with comorbid insomnia [21,57]

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