Obtain comprehensive baseline labs: TSH, free T4, free T3 Thyroid antibodies (TPO and thyroglobulin if not previously checked) Complete metabolic panel HbA1c and fasting glucose Lipid panel Vitamin D and B12 (commonly deficient in hypothyroidism) During Treatment When to Contact Your Provider Reach out if you experience: Unusual or worsening fatigue not explained by semaglutide initiation New or returning brain fog or cognitive difficulty Constipation that does not improve with typical measures Heart rate changes (especially sustained bradycardia) Cold intolerance or dry skin changes Weight loss plateau despite medication adherence Hair loss beyond what is expected with weight loss Mood changes including depression or anxiety Semaglutide Alternatives for Hypothyroid Patients For patients who cannot take semaglutide or prefer alternatives, several options exist: Tirzepatide (Mounjaro/Zepbound): Dual GLP-1/GIP agonist with potentially greater weight loss
- A ksztmny hatanyaga a szemaglutid
L-carnitine is a derivative of amino acids and naturally occurs in foods, but significant amounts are only found in dark meats (due to high concentrations of mitochondria)
Sleep: Aim for 79 hours the largest natural GH pulses occur during deep sleep
Patients can access this offer in multiple ways: If prescribed Wegovy by their local healthcare professional, they can activate their one-time offer at Wegovy.com, then either print or have it sent straight to their phone prior to visiting their pharmacy of choice
Why? Fasting is a common strategy during GLP-1 therapy, but hunger during fasting periods can derail progress
.png)
