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This is one reason many endocrinologists prefer injectable GLP-1 medications for patients on thyroid hormone replacement

doi: 10.3389/fmed.2022.875430 Summary Keywords glucagon-like peptide-1 receptor agonist (GLP-1RA), incretin based therapy, glucose-depent insulinotropic peptide (GIP), dual agonists, tirzepatide, type 2 diabetes Citation Gallwitz B (2022) Clinical perspectives on the use of the GIP/GLP-1 receptor agonist tirzepatide for the treatment of type-2 diabetes and obesity

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10.3389/fimmu.2023.1148209 [DOI] [PMC free article] [PubMed] [Google Scholar] 36.Cho PG, Jang JH, Ko S, Shin DA, Chung S, Chang MC (2023) The Effect of Evogliptin Tartrate on Controlling Inflammatory Pain
for diabetics, it is financed by the state and costs 4.24 ($4.60) for four doses

But safety depends on your individual medical history and whether you have contraindications