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When used responsibly, it can greatly improve your quality of life and prevent complications related to B12 deficiency

A reasonable approach includes: Baseline thyroid function tests (TSH and FT4) before starting GLP-1 therapy Repeat testing at 812 weeks after commencing treatment, particularly if significant weight loss occurs Further monitoring at 6 months , then annually if thyroid function remains stable Additional testing if symptoms of thyroid dysfunction develop After any levothyroxine dose change, NICE NG145 recommends re-checking thyroid function in 68 weeks to assess the adequacy of the adjustment

Pinch a fold of skin, insert the needle at approximately 45-90 degrees (depending on needle length and subcutaneous fat thickness), inject slowly, and hold for 5-10 seconds before withdrawing

They also consider your medical history and any weight-related medical conditions