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N Engl J Med 381(7):637646

When initiating semaglutide in patients already taking levothyroxine, clinicians may consider checking TSH levels 6-8 weeks after starting treatment, particularly for patients using oral semaglutide (Rybelsus) due to its documented effect on thyroxine exposure

A principal mechanism of action involves the modulation of gene and protein expression governing tight-junction signaling pathways within intestinal IECs, thereby influencing barrier assembly, permeability, and overall epithelial integrity (166)

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After treating chickens with A
