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L-carnitine seems to inhibit the activity of the thyroid hormone in the target tissues
If fatigue, cold sensitivity, or slowed heart rate persist beyond week 4 of semaglutide, contact your provider for TSH testing rather than assuming the symptom is semaglutide-related
Symptoms may appear during initiation or dose escalation and can improve with time or a clinician-directed adjustment
Meier JJ, Gethmann A, Nauck MA et al (2006) The glucagon-like peptide-1 metabolite GLP-1-(936) amide reduces postprandial glycemia independently of gastric emptying and insulin secretion in humans
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