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Common thyroid conditions such as hypothyroidism or Hashimoto's are not contraindications, though thyroid status should be optimized and monitored

Reviewed Certificate of Analysis for semaglutide base API, lot #[number], confirming identity and potency

Extended gaps can slow weight loss progress or, in some cases, lead to modest weight gain if calorie intake increases significantly during the period without medication

Low blood glucose levels can produce symptoms that closely mimic anxiety, including tremor, palpitations, sweating, and feelings of apprehension

Patients with a history of sensitive GI systems may do better starting with semaglutide and escalating if needed