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Before prescribing Ozempic to someone with Hashimoto's disease, your GP or endocrinologist will: Ensure your thyroid function is optimally controlled with stable TSH levels Review your complete medical history, including any thyroid nodules Assess whether the benefits of improved glycaemic control outweigh potential risks Establish a monitoring plan for both diabetes and thyroid function Discuss diabetic retinopathy screening, especially if rapid glycaemic improvement is expected Advise on contraception, as Ozempic should be avoided in pregnancy and stopped at least 2 months before planned conception Understanding the potential interactions between Ozempic and thyroid conditions requires consideration of both direct pharmacological effects and indirect metabolic consequences

Milton Packer discussing the history of ARNI

Marbury, T

Stepwise Intensification: The guidelines outline clear steps for add-on therapy (Step 3) and intensification based on glycemic need (Step 4), ensuring targets are met effectively