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PMID 18140117
3,10 Selectivity is important, because inhibition of two other enzymes, DPP-8 and -9--both in the same family as DPP-4--resulted in serious toxicities and impaired T-cell activation
The post says baseline TSH, free T4 and TPO antibodies should be established before any GLP-1 medication is started, whether branded or compounded, and that how often to recheck thyroid function during initiation is a question for the provider
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