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This type of medication behaves similarly to natural GLP-1 hormones in the body by promoting the production of insulin by the pancreas, supporting a sense of satiety while also slowing the movement of food along the digestive tract and by inhibiting the secretion of glucagon as food is digested
Importantly, initiation of GLP-1RA may decrease levothyroxine dose requirements in patients with hypothyroidism through weight loss, enhance levothyroxine absorption due to delayed gastrointestinal (GI) transit, and have direct effects on the hypothalamic-pituitary-thyroid axis [23,24,25,26,27,28,29], potentially increasing the risk of thyroid hormone over-replacement (i.e., iatrogenic hyperthyroidism)
Eur J Pediatr 2003
The technical framework relies on the NCPDP SCRIPT version 2017071 standard (and its successors)
Tears cause pain with gripping, twisting, and weight-bearing through the wrist
