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Abstract Glucocorticosteroids (GCs) are commonly used in the treatment of autoimmune, inflammatory and neoplastic diseases

Patients should be educated to recognize symptoms of thyroid dysfunction, track their weight and any changes in energy levels or other symptoms, and maintain a consistent schedule for both levothyroxine and GLP-1 medication administration

Desire for a Natural Approach : You prefer to manage your health through lifestyle changes rather than relying on medication

Dietary modifications emphasizing lean proteins, complex carbohydrates, and limiting fat intake often provide relief

NICE guidelines (NG28) recommend GLP-1 receptor agonists for type 2 diabetes based on individual patient factors, including cardiovascular risk, and not strictly as second- or third-line therapy after metformin failure