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Hashimoto's is not just a thyroid problem

Rybelsus (GLP-1 RA): Directly activates GLP-1 receptors to stimulate insulin only when glucose is high, slows stomach emptying, and suppresses appetite via brain signaling

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Synthetic FXR agonist GW4064 prevents diet-induced hepatic steatosis and insulin resistance

Your physician can verify whether you have a condition that contraindicates adding a supplement to your routine
16 Based on these data, it is reasonable to decrease background prandial insulin doses by 50%, or even hold the prandial insulin altogether in patients with good glucose control or a history of hypoglycemia when starting a GLP-1 RA