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Regular monitoring should include thyroid function tests (TSH, free T4) typically 68 weeks after dose changes, and diabetes control measures (HbA1c) every 36 months, along with monitoring for symptoms of thyroid dysfunction or medication side effects
Judging either by the first month or two underestimates them, since the larger results accumulate over many months
Safer options include medically supervised GLP-1 therapy, nutritional counseling, cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and holistic approaches like mindfulness-based stress reduction
Results so far are encouraging, showing a median relative change in BMI of -15 percent, visceral fat -19 percent, and FGV -22 percent, among other findings
Beyond Just Weight Loss Emerging research suggests GLP-1 receptor agonists may improve sleep apnea through mechanisms beyond pure weight reduction
Clinical and preclinical evidence indicates that GLP-1RAs can improve myocardial metabolisman effect that may in part account for their ability to reduce the incidence of AF (116)
