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Concurrent use of other GLP-1 agonists (semaglutide, liraglutide) or SGLT2 inhibitors should be discussed with a healthcare provider before starting tirzepatide, as additive effects on blood sugar and kidney function warrant careful supervision

Negro R, Greco G, Mangieri T, Pezzarossa A, Dazzi D, Hassan H (2007) The influence of selenium supplementation on postpartum thyroid status in pregnant women with thyroid peroxidase autoantibodies

Although the incidence of the disorder is not known, more than 200 cases have been described, and from previously being considered rare, the condition may now be said to be uncommon

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