Whilst most digestive side effects are mild to moderate and self-limiting, there have been very rare post-marketing reports of more serious gastrointestinal complications, including gastroparesis (severe delayed gastric emptying) and intestinal obstruction, though causality has not been established
Analyses of social media suggest that off-label use is influenced by dosing concerns, insurance denials, and GI side effects [[276], [277], [278]]
The goal is to occupy your conscious mind with something other than your stomach
Por lo tanto, los pacientes con Hashimoto que inician tratamiento con GLP-1 deben tener monitoreo ms frecuente de la funcin tiroidea, tpicamente cada 6-8 semanas durante la fase de prdida de peso activa, segn recomiendan las guas de la American Thyroid Association
doi: 10.1016/j.mce.2021.111206 20 BouillonR