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For oral semaglutide (Rybelsus), take it first upon waking with no more than 4 oz water, wait at least 30 minutes, then take levothyroxine, and wait an additional 30-60 minutes before eating
This pathway allows signals to travel both ways
Finlay, S., Rudd, D., McDermott, B
Because they reduce appetite so much, they could worsen disordered eating behaviors
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