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Thyroid function tests should be rechecked 68 weeks after tirzepatide initiation, and levothyroxine dosing may require adjustment
an FDA advisory committee rejected adding it to the approved compounding list in 2024, citing toxicity and an unresolved cardiac signal
Once semaglutide is removed from the shortage list (expected late 2026), compounding pharmacies must stop production within 60 days
Both medications also carry important warnings and are not appropriate for everyone, which is exactly why a medical evaluation comes first
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