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The area postrema and brainstem nuclei that signal satiety also mediate nausea, which is why appetite suppression and gastrointestinal upset so often travel together

What to monitor: The same factors as the 1 mg phase, plus blood glucose patterns if you monitor them, hydration status (GLP-1 agonists can reduce thirst cues), and mood or energy shifts that may indicate metabolic transition

There is no way I would let my patients stay on or be on a GLP 1 if they're actively pregnancy planning, nor would I do [00:27:00] that personally

Frequently Asked Questions Is GLP-1 therapy safe for patients with Hashimoto's

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W., Sattar, N., & Ali, M