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Red Flags: When to Contact Your Provider Immediately Monitor for signs of thyroid imbalance during semaglutide treatment: unexplained fatigue, sudden weight gain despite compliance, cold intolerance, or dry skin may signal hypothyroidism requiring a lower levothyroxine dose

Schedule Your Visit Board-certified providers Baltimore, MD Dosing and Treatment Timeline Semaglutide dosing follows a slow, deliberate climb to minimize side effects

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Preventing vitamin B12 deficiency is easier than treating it

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Plant-based protein supplements, such as those made from peas or hemp seeds, may be better options (at least until the mechanism behind L-carnitine, choline and lecithin consumption and heart health is more fully understood)