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When you activate those receptors repeatedly with a drug like retatrutide, you stimulate C-cell growth
Without tracking, you are relying on memory and impression, both notoriously unreliable
Some people may also have vomiting, Diarrhea, or stomach pain
It slows the pace of eating and weakens the neurological reinforcement that makes high calorie foods particularly appealing
These changes will affect fully insured large group commercial members, with a significant shift coming on January 1, 2025, when coverage for these medications will be discontinued altogether
Such a strategy could include thyroid function assessment at GLP-1RA initiation, and every 3 months during active weight loss period (or more frequent, e.g., every month when 5% weight reduction is achieved), and timely levothyroxine dose titration to optimize thyroid hormone replacement
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