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10.1016/j.lfs.2019.05.033 45 ZhangY.ChenS.QuF.SuG.ZhaoY

Shi X, Zhang Y, Zheng J, Pan J

provide compelling evidence that chronic inflammation and immune dysregulation associated with thyroid autoimmunity may directly affect patient well-being, independent of biochemical thyroid status (19, 20), which can have systemic effects beyond the thyroid gland (21, 22)

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This is particularly important for individuals also taking insulin or sulfonylureas, as semaglutide can increase the risk of hypoglycemia when combined with these medications