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Michael Aziz, MD Manhattan Known For: The most expansive peptide menu in New York City: 25+ compounds including next-generation retatrutide

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If your thyroid levels have been stable on a fixed levothyroxine dose for months before starting semaglutide, you should work with your prescriber to monitor thyroid function tests (TSH, Free T4) at 68 weeks after beginning GLP-1 therapy

If you use oral contraceptives, consider switching to a non-oral contraceptive method (such as an IUD, patch, or implant), or use an additional barrier method (such as condoms) for at least 4 weeks after starting semaglutide and for at least 4 weeks after each dose increase

These medications are prepared by FDA-registered and inspected compounding pharmacies

Nausea management GLP-1 nausea typically peaks during the first few weeks at each new dose level