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In a 2021 study, patients who took both oral semaglutide and levothyroxine experienced a 33% increase in total T4 exposure, which can indicate higher-than-intended exposure

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I will link to those so you can take a deeper dive on the whys of HRT And why we're often starting the estrogen progesterone is because that's laying the groundwork for the improved insulin sensitivity

(Ozempic is approved for use only in people who have type 2 diabetes.) This means that the underlying cause for which people take Ozempic may cause some side effects related to vision