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Many patients notice: Energy improvements: Within 24-48 hours Skin brightening: 2-4 weeks with regular treatments Overall wellness: Cumulative benefits over 4-6 sessions Who is a Good Candidate

and 4 is defined as hypertonic flexor and extensor muscles [3]

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Standard practice includes: Baseline thyroid function tests (TSH and free T4) before initiating GLP-1 therapy Repeat testing at 812 weeks after starting treatment or after dose escalation Regular monitoring every 36 months during active weight loss Return to annual monitoring once weight is stable and thyroid function remains consistent Adjustments to levothyroxine dosing may be necessary as weight changes