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Plan for Cravings, Not Against Them Cravings are inevitable as appetite hormones normalize
This biguanide derivate is the most widely prescribed drug to manage glucose metabolism in individuals with T2DM and is still recommended, in conjunction with lifestyle modification, as a first line medication in the joint guidelines of the American Diabetes Association and the European Association of the Study of Diabetes [1]
Key questions to discuss include: Whether you meet NHS criteria for GLP-1 prescription (type 2 diabetes or obesity with complications) The evidenceor lack thereoffor GLP-1 use specifically in Hashimoto's management Potential interactions between GLP-1 medications and thyroid hormone replacement How GLP-1 therapy might affect your thyroid function monitoring schedule Alternative evidence-based approaches to managing metabolic symptoms in Hashimoto's The costs and practicalities of private prescription if NHS funding is not available Contraception requirements if you are of childbearing potential (GLP-1 medications should be avoided in pregnancy and breastfeeding) Your GP may recommend optimising your current thyroid management first , ensuring your levothyroxine dose is appropriate and that you are not over- or under-replaced
D., Wong, F
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