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They will also need to monitor your lab work regularly to ensure your liver and kidneys are processing both substances correctly
Consider referral to an endocrinologist for: Pregnancy planning or current pregnancy Persistently abnormal TSH despite adherence to treatment Presence of thyroid nodules, goiter, or compressive symptoms Rapid changes in thyroid size or function Diagnostic uncertainty or complex thyroid disease Patients with diabetes and pre-existing retinopathy who are starting semaglutide should also coordinate with an ophthalmologist for appropriate monitoring
Start with small amountsadding fiber too quickly while on a GLP-1 can cause bloating and gas
If you're wondering if insurance covers semaglutide or you're comparing tirzepatide and orforglipron, our team in Greer will clarify coverage details before you start treatment
Ostrom QT, Wright CH, Barnholtz-Sloan JS
