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Standard practice includes: Baseline thyroid function tests (TSH and free T4) before initiating GLP-1 therapy Repeat testing at 812 weeks after starting treatment or after dose escalation Regular monitoring every 36 months during active weight loss Return to annual monitoring once weight is stable and thyroid function remains consistent Adjustments to levothyroxine dosing may be necessary as weight changes

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Both drugs affect heart rate, blood pressure, and metabolic rate, and layering a stimulant (phentermine) onto a GLP-1 medication increases risks of arrhythmias and hypertensive episodes

Your healthcare professional can advise on appropriate needle length (typically 4-6 mm for most adults) based on your body type and injection technique

Some weight loss injections can cost up to $1,000 a month without insurance