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Again, for this reason, I generally recommend delaying your thyroid medications until after your lab test

Key Takeaway: Nighttime dosing is generally preferred for those who experience acute nausea shortly after administration, while morning dosing is often better for those who need a routine-based reminder to stay consistent

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They are not associated with cardiovascular protection beyond glucose lowering, so they are typically chosen when GLP-1 agonists or SGLT2 inhibitors are unsuitable

For semaglutide users, the same principles apply and are covered in our compounded semaglutide refrigeration guide and semaglutide out-of-fridge time guide