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Starting weight loss therapy with uncontrolled hypothyroidism may: Confound assessment of treatment efficacy Complicate symptom attribution (fatigue, constipation overlap) Necessitate multiple medication adjustments simultaneously Practically speaking, patients may benefit from demonstrating stable thyroid function on consistent levothyroxine dosing before adding weight loss medications, though this is not a strict requirement
Why Take Metformin and Ozempic Together
Legleiter LR, Spears JW
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Many patients may require both medications simultaneouslyfor instance, someone with rheumatoid arthritis requiring corticosteroid therapy who also has obesity and associated metabolic complications
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