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If you hit a plateau on the metformin-tirzepatide combination, consider these steps before assuming the medications have stopped working: First, review your diet honestly

10.1016/j.jcmg.2020.05.036 45 RijzewijkL

McIntyre RS et al

In some cases, ashwagandha may: Increase thyroid hormone levels in hypothyroid individuals Decrease thyroid hormone levels in hyperthyroid individuals Help regulate the hypothalamic-pituitary-thyroid (HPT) axis A study on bipolar patients with elevated TSH levels found that ashwagandha supplementation led to a significant reduction in TSH levels