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GLP-1s can cause hypoglycemia when combined with insulin or sulfonylureas your log is your safety net

"Thyroid Papillary Microcarcinoma: Etiology, Clinical Manifestations, Diagnosis, Follow-up, Histopathology and Prognosis"

Review timing of medication : For oral semaglutide (Rybelsus), ensuring proper administration (on an empty stomach with up to 120 mL of water, then waiting at least 30 minutes before any food, drink, or other oral medicines) may reduce gastrointestinal effects

(2025), in a network meta-analysis of 22 RCTs (2,258 participants) published in Metabolism, reported a mean difference of 0.86 kg lean mass for GLP-1 receptor agonists versus placebo, corresponding to roughly 25% of total weight loss