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Key questions to discuss include: Whether you meet NHS criteria for GLP-1 prescription (type 2 diabetes or obesity with complications) The evidenceor lack thereoffor GLP-1 use specifically in Hashimoto's management Potential interactions between GLP-1 medications and thyroid hormone replacement How GLP-1 therapy might affect your thyroid function monitoring schedule Alternative evidence-based approaches to managing metabolic symptoms in Hashimoto's The costs and practicalities of private prescription if NHS funding is not available Contraception requirements if you are of childbearing potential (GLP-1 medications should be avoided in pregnancy and breastfeeding) Your GP may recommend optimising your current thyroid management first , ensuring your levothyroxine dose is appropriate and that you are not over- or under-replaced

They work by mimicking the effects of the natural GLP-1 hormone, providing a multifaceted approach to weight management that addresses both appetite and glucose regulation

Alcohol is metabolized by the liver and messes with the filtration as well

Clinical Update 12/09/2018 When to Take Protein Supplementing with protein can increase muscle mass and strength more than resistance exercise alone, but the timing of protein consumption can make a difference if you are also trying to improve metabolism and reduce body fat