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Another issue is that there is probably some under-reporting of adverse effects, in that people who stopped using the supplement before 3 months were not included

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Observational studies indicate that in most patients, an 80% reduction in aminotransferase levels occurs within the first two months, although complete normalization may take several months [98]

In rare cases, patients benefit from switching to a different form of thyroid replacement or using both semaglutide and thyroid medication in carefully choreographed timing

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