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Starting weight loss therapy with uncontrolled hypothyroidism may: Confound assessment of treatment efficacy Complicate symptom attribution (fatigue, constipation overlap) Necessitate multiple medication adjustments simultaneously Practically speaking, patients may benefit from demonstrating stable thyroid function on consistent levothyroxine dosing before adding weight loss medications, though this is not a strict requirement

As a result, more patients across Virginia Beach and the Hampton Roads area are trying out GLP-1 medications as part of medically supervised weight loss programs

J Clin Endocrinol Metab, 81: 460-465 Merriam GR, Kletke M, Barsness S, et al

Like liraglutide and semaglutide, tirzepatide is currently contraindicated for patients with either a personal or family history of MTC and for patients with MEN 2