You made me jump through hoops
Elevated plasma membrane OCTN2 carnitine transporter expression was observed in vegetarians compensating for lower carnitine levels obtained from the diet
A balanced GLP-1 diet focuses on high-protein foods, fiber-rich carbohydrates, healthy fats, and plenty of fluids while limiting foods that may worsen nausea or slow digestion
This is not due to thyroid damage, but rather because: Weight loss alters hormone needs Improved metabolic health can change dosing requirements My Clinical guidance to patients: If you lose 1020 pounds, recheck thyroid labs within 812 weeks to avoid over- or under-treatment
However, orally active GLP-1RA is semaglutide which was recently approved for the treatment of T2DM patients (Thethi et al
Holding the dose longer or adjusting to a customized intermediate dose may improve tolerability