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Treatment adequacy is assessed with thyroid-stimulating hormone (TSH) testing, a standard biomarker [1922]
Balle notes that GLP-1-related shedding is already reaching new levels

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Your prescriber may consider: Ondansetron (Zofran) 4 to 8 mg as needed, particularly during the 48-hour post-dose window Dose-escalation slowdown , staying at the current semaglutide dose for an additional 4 weeks before stepping up Temporary dose reduction , returning to the previous tolerated dose The STEP 1 trial reported that 4.3% of patients on semaglutide 2.4 mg discontinued due to GI adverse events
