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This warning is based on rodent studies where the drugs caused changes in thyroid cells

doi: 10.1016/S0140-6736(06)69705-5 [DOI] [PubMed] [Google Scholar] 104.Klein KR, Clemmensen KKB, Fong E, Olsen S, Abrahamsen T, Lingvay I

After an 8-week 800 kcal/day low-calorie diet that produced a mean 13.1 kg weight loss, 195 adults with obesity (BMI 3243, no diabetes) were randomized for one year to one of four arms: placebo, structured exercise, liraglutide 3 mg/day, or exercise plus liraglutide
The paper is the first to focus specifically on GLP-1 medications in gynecologic surgery

Higher doses may accelerate weight loss but can also increase certain side effects, such as hair loss

Silymarin improves BBR oral bioavailability so as alleviates gastrointestinal discomfort [30]