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[22] If a patient is already taking berberine, consider temporarily reducing the dose or discontinuing it during tirzepatide initiation and dose escalation, then cautiously reintroducing it once tirzepatide dose is stable and tolerability established

After universal salt iodization (USI) over 16 years in 15,008 adults from 10 cities in eastern and central China, the prevalence of clinical hypothyroidism, subclinical hypothyroidism, clinical hyperthyroidism, GD, and the presence of thyroid antibodies were found to be significantly higher in cities with more than adequate consumption of I

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2016 Oct;17(10):970-6.