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How it works: Kisspeptin signals your brain to release GnRH (gonadotropin-releasing hormone), which triggers a cascade: your pituitary releases LH and FSH, which stimulate your reproductive organs
doi: 10.1186/s12916-016-0762-8 12 Long MT, Pedley A, Massaro JM, et al
When initiating semaglutide in patients already taking levothyroxine, clinicians may consider checking TSH levels 6-8 weeks after starting treatment, particularly for patients using oral semaglutide (Rybelsus) due to its documented effect on thyroxine exposure
The monthly check-in appointments allow the patient and provider to adjust the dosage or their diet and exercise plan as necessary
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