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Serious health complications related to kidney damage arent hypothetical

Beyond potential direct receptor-mediated effects, it is more plausible that GLP-1RAs influence thyroid physiology indirectly by modulating systemic inflammation, adipokine signaling, and immune tolerance, thereby affecting the autoimmune milieu rather than acting on thyroid tissue itself [9]

Physiol Behav (2008) 94(5):6704

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One user phrased it in a way that resonates with many: "Its due to the medication affecting gut-brain receptors." - anonymous And finally, the overall reduction in calories may amplify emotional intensity during sleep

doi: 10.3390/pharmaceutics16060693