Possible Clinical Consequences: Elevated TSH levels Fatigue, weight gain, cold intolerance Persistent or worsening hypothyroid symptoms Pharmacist Counseling Tip: Advise patients to take thyroxine early morning on an empty stomach, with water only, and maintain a minimum 4-hour interval before consuming calcium or iron supplements
PMCID: PMC7540535 ) Elashoff M, Matveyenko AV, Gier B, Elashoff R, Butler PC (2011) Pancreatitis, pancreatic, and thyroid cancer with glucagon-like peptide-1-based therapies
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However, more rigorous, controlled studies are necessary to determine whether GLP-1 medications are truly responsible