When GLP-1 is Appropriate Your thyroid levels are stable You are on a consistent levothyroxine routine You struggle with weight loss despite diet and exercise You have Hashimotos or primary hypothyroidism and want better metabolic control When GLP-1 is Not Recommended You have MTC You have MEN2 You have uncontrolled hypothyroidism (TSH extremely high) Key Monitoring Guidelines When I start a hypothyroid patient on GLP-1, I monitor: TSH every 68 weeks T3 and T4, depending on symptoms Heart rate Energy levels GI symptoms Appetite changes How GLP-1 Medications Work I always describe GLP-1 medications in a way patients can visualize: 1
Urinary Medium-Chained Acyl-Carnitines Sign High Caloric Intake whereas Short-Chained Acyl-Carnitines Sign High -Protein Diet within a High-Fat, Hypercaloric Diet in a Randomized Crossover Design Dietary Trial
Collagen, Hydrolyzed Collagen, Glutathione, Sodium Hyaluronate, Propanediol, Butylene Glycol, 1,2-Hexanediol, Glycerin, Sodium Hyaluronate Crosspolymer, Hydrolyzed Glycosaminoglycans, Hyaluronic Acid, Tripeptide-1 , Pentapeptide-3 , Palmitoyl Tripeptide-5, Palmitoyl Tripeptide-1, Palmitoyl Tetrapeptide-7, Palmitoyl Pentapeptide-4 , Palmitoyl Hexapeptide-12 , Nonapeptide-1, Hydrolyzed Hyaluronic Acid , Hexapeptide-9, Dipeptide Diaminobutyroyl Benzylamide Diacetate , Copper Tripeptide-1, Acetyl Hexapeptide-8
Example: Maria spent $80 on a "metabolic detox kit" promising to "flush toxins released during fat loss." She experienced diarrhea and dehydration, lost no additional weight, and felt considerably worse
Could reduced food intake place me at risk for a nutritional deficiency