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Some studies have found changes in TSH levels after starting GLP-1 or GLP-1/GIP therapy, which is why follow-up testing is important

Diabetes 67(9):17101719 Duckworth W, Abraira C, Moritz T, Reda D, Emanuele N, Reaven PD, VADT Investigators et al (2009) Glucose control and vascular complications in veterans with type 2 diabetes

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NAION is marked by decreased blood supply to the optic nerve and can lead to sudden blindness

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You need a framework: protein at every meal, fiber from real food sources, minimal added sugar and refined carbs, and enough water to support the medication's effects on digestion