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This increases the risk of contamination, incorrect dosing, or mislabeling

However, thyroid function should be monitored during treatment, particularly if gastrointestinal side effects occur that might affect medication absorption

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Since levothyroxine requires an acidic gastric environment for optimal dissolution and absorption, and its absorption can be affected by the rate of gastric emptying, patients may experience variations in thyroid hormone levels when starting semaglutide therapy