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Best practice is to take thyroid hormone on an empty stomach 3060 minutes before food, and semaglutide injections can be given at any time of day without interfering with this schedule
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Maintenance may be required every 12 years
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We therefore suggest monitoring drug levels at least at the start of cotreatment with GLP1RAs, especially in patients with kidney dysfunction who are at risk for drug accumulation to toxic levels
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