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According to NICE guidance (NG145), the standard treatment is levothyroxine replacement therapy, with dose titration based on regular TSH monitoring, typically checking TSH 6-8 weeks after dose changes with the aim of achieving a TSH within the reference range

You may be prescribed either the tablet or the injection if clinically suitable, but you should not take both at the same time

What this means for DFU care: Their anti-inflammatory, vascular, and neuroprotective properties could make GLP-1 receptor agonists a valuable adjunctive therapy in managing complex, chronic diabetic foot ulcers a hypothesis worth further exploration