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If using tirzepatide, women should discuss contraception, as backup methods are recommended during initiation and for 4 weeks after dose increases

Many patients on both medications report that taking levothyroxine first thing in the morning, followed by breakfast at least 30 minutes later, maintains stable thyroid levels while allowing semaglutide to work effectively

The encapsulation of peptides helps protect them from degradation in the digestive tract, ensuring better absorption and bioavailability

Here's the key difference: Metformin improves insulin sensitivity, helps regulate blood sugar, and supports gradual weight loss

Recommended dose: 10 to 30 billion CFUs daily for moderate support

They described an increase in potential complications, but did not report on whether there was a decrease in cardiovascular events