It is not yet widely available for general prescriptions, though you may be able to join a waitlist or consultation process through a prescription referral service
doi: 10.1158/0008-5472.CAN-07-1872 78 SommerfeldtLPortillaHJacobsenLGjerstadJWyllerVB
However, significant weight loss may alter levothyroxine requirements, and Wegovy's effect on gastric emptying could potentially influence absorption of oral medications, so thyroid function should be monitored regularly
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Most people start with the lowest dose and gradually increase over time, depending on how well they tolerate the medication
If a side-effect is intolerable, the Semaglutide can be stopped