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Individual genetic factorssuch as variants in your GLP1R gene (rs6923761) or GIPR gene (rs1800437)influence how strongly you respond to GLP-1 medications and may predict whether fasting will feel sustainable or restrictive
Diabetes Care 40 , 280283 (2017)
Certain medications, including some forms of birth control, may also impact your menstrual cycle
But "improvement" in this context means TSH levels changed, and that can go in either direction depending on your current dose
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