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However, weight loss itself can shift thyroid hormone requirementsrapid weight loss may lower TSH levels, potentially requiring thyroid dose adjustments within 3 to 6 months of starting GLP-1 therapy

(5.7) Diabetic Retinopathy Complications in Patients with Type 2 Diabetes: Has been reported in trials with semaglutide

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There are, however, randomized, double-blind intervention trials conducted in pregnant women with anemia in Southeast Asia showing that a combination of folic acid, iron, vitamin A, and riboflavin improved hemoglobin levels and decreased anemia prevalence compared to iron-folic acid supplementation alone (23, 24)