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A recent meta-analysis on studies in which patients on tablet T4 showed suboptimal TSH values indicated that the switch to liquid T4 formulation, at the same daily dose, might help in reaching the target TSH levels (86)

However, these were separate studies that used different patient groups, study designs, and treatment schedules

Where keto and GLP-1 drugs overlap A well-structured ketogenic or low-carb nutrition protocol achieves many of the same metabolic benefits as GLP-1 drugs improving insulin sensitivity, reducing chronic inflammation, promoting fat metabolism, and supporting appetite regulation through satiety from protein and healthy fats

Carbs are: Oxidized immediately Stored as muscle glycogen Stored as liver glycogen Thermogenic waste DNL DNL is the lowest-priority destination for carbs