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Take levothyroxine on an empty stomach 30-60 minutes before breakfast with water only

Semaglutide binds GLP-1 receptors on pancreatic beta cells and intestinal neurons, slowing gastric emptying and enhancing insulin secretion in response to meals

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Contact your physician if you experience profuse sweating that soaks through clothing, occurs primarily at night (night sweats), or is accompanied by other concerning symptoms such as fever, unexplained weight loss beyond expected treatment effects, chest pain, palpitations, or shortness of breath