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The side effects such as dry mouth, acid reflux, and bacterial changes can increase the risk of cavities, enamel erosion, and gum disease

[1] In the SURMOUNT clinical trial program, which included over 5,000 participants across multiple studies, anxiety was not identified as a common or notable side effect

Indeed, early in vitro studies on rat thyroid follicular cells showed that concurrent treatment with insulin and TSH significantly increased the cell number compared to treatment with TSH alone (Tramontano et al., 1986)

and Humpf, H.U., 2012