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There are certain exceptions where a patient might start GLP-1 therapy before full thyroid optimization

Nervous System/Systemic: Headache/Dizziness: Often transient, occurring shortly after injection

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The authors noted: Overall, as GLP-1RAs become increasingly prescribed, further pharmaco-vigilance studies are warranted.

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Alcohol may interfere with the contractility of heart muscle cells, change the shape and structure of heart muscle cells, contribute to electrolyte imbalance, or induce oxidative stress