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Significant weight loss from Wegovy may reduce your levothyroxine requirements

Acheson KJ, Zahorska-Markiewicz B, Pittet P, Anantharaman K, Jquier E
Semaglutide does not require dose reduction based on kidney function because it is metabolized via amino acid pathways, not renal elimination

Summary: There is currently no established scientific evidence linking Ozempic (semaglutide) to memory loss or cognitive decline in clinical trials
regular follow-up appointments provide an opportunity to review dietary intake and address any nutritional concerns proactively