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You should be advised to: Report any new neck swelling or changes in voice Monitor for symptoms of thyroid dysfunction (either hypo- or hyperthyroidism) Maintain consistent timing of levothyroxine administration Keep a record of weight changes Report severe or persistent gastrointestinal symptoms Stay well-hydrated, especially if experiencing nausea, vomiting or diarrhoea Medication adherence to both levothyroxine and GLP-1 therapy is essential for optimal outcomes

T.AriasS.et al (2015)

Relationship between serum levels of selenium and thyroid cancer: a systematic review and meta-analysis

J Neurochem 169:e70175

& Madsbad, S