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Patients with Hashimoto's thyroiditis starting GLP-1 therapy require thoughtful monitoring, though the presence of autoimmune thyroid disease does not necessitate fundamentally different safety protocols than for other patients

63 Finally, pharmacological therapy alone is insufficient

This can lead to faster intoxication, hypoglycemia in some cases, and severe nausea or vomiting

doi: 10.1038/oby.2007.204

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