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Try the BMI Calculator Required Before Starting Review personal and family history for medullary thyroid carcinoma (MTC) Screen for Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) Confirm that hypothyroidism cause is identified (Hashimoto's, post-surgical, post-RAI, etc.) Ensure current TSH is in target range Baseline Testing TSH, free T4, free T3 Consider baseline calcitonin if thyroid nodules are present Document current levothyroxine dose and timing Ongoing Monitoring TSH at 6 weeks after starting Zepbound TSH after each dose escalation TSH every 3 months during the first year Reassess levothyroxine dose after every 10% of body weight lost Report new neck swelling, hoarseness, or difficulty swallowing immediately Zepbound vs

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