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Your provider should establish a baseline TSH level before GLP-1 initiation and recheck every 6-8 weeks during the first 6 months of therapy

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Alternative diabetes medications or weight management strategies exist, and your healthcare team can discuss options that balance metabolic benefits against tolerability

A consultation helps determine if its the right treatment for your goals

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After discussing whether the peripheral (gutproduced) and central (PPG neuronproduced) GLP1 systems are linked or not, we will concentrate on the central GLP1 system