You swallow it whole (not crushed or chewed), first thing in the morning on an empty stomach, with just 4 ounces of water, then wait at least 30 minutes before eating or drinking anything else, including other medications or supplements
Those who skip the loading phase can still achieve full saturation over time with this same daily dose
*Correspondence: Parisa Alsadat Dadkhah, [email protected] These authors have contributed equally to this work Disclaimer All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers
For patients with thyroid disease specifically, the HealthRX.com Medical Team recommends: closer TSH monitoring in the first 6 months of GLP-1 therapy, discussion of the MTC boxed warning with an endocrinologist (not a reason to avoid the drug in most cases, but a reason to have the conversation), and awareness that levothyroxine absorption timing may need adjustment
Alcohol can cause hypoglycemia (low blood sugar), especially if you drink on an empty stomach or drink heavily
Kristin Jackson, a double-board certified surgeon with more than 25 years of experience in women's health, hormones, pelvic heath