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KD, SS, CW-S, MB, AH, JLR, GE, RHM, OD-C, UW contributed to the acquisition of the data

As patients lose substantial weight, their metabolic demands change, potentially altering the dose of levothyroxine needed to maintain euthyroid status

Signs of dehydration (dark urine, dizziness on standing, dry mucous membranes)

References Fatima MT, Ahmed I, Fakhro KA, Akil ASA

When combined, these medications may produce additive appetite reduction and improved glucose control, but also increase the risk of gastrointestinal side effects, dehydration, and metabolic dysregulation
