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Adding a GLP-1 medication like semaglutide to your treatment plan raises legitimate questions about safety and efficacyespecially when thyroid hormones already affect appetite regulation and energy levels

In the meantime, however, experts warn against using GLP-1 medications this way, even in microdoses

The most serious side effects include gastroparesis (stomach paralysis), bowel obstruction or ileus requiring surgery, intestinal blockage, gallbladder disease, vision loss including NAION (non-arteritic anterior ischemic optic neuropathy and arteritic anterior ischemic optic neuropathy), sudden vision loss or blindness, deep vein thrombosis (blood clots), severe malnutrition, and organ damage from prolonged gastrointestinal injuries

If less than 4 days away, skip the missed dose and administer the next dose on the regularly scheduled day