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However, if your next scheduled dose is less than 2 days (48 hours) away , you should skip the missed dose entirely

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After feeding, ghrelin is rapidly suppressed and LEAP2 concentrations markedly increase, lowering the ghrelin/LEAP2 ratio and attenuating GHSR signalling, thereby promoting satiety and limiting further food intake [8, 27, 71]

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At the lower diabetes dose the risk is small

Patients with thyroid issues should discuss risks with their doctor