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Safe alternatives include metformin, SGLT2 inhibitors (empagliflozin, dapagliflozin), DPP-4 inhibitors (sitagliptin, linagliptin), and exenatide immediate-release or lixisenatide, which do not carry thyroid cancer warnings
The packaging displays the German flag alongside authoritative-looking seals including GMP, HACCP, and Herstellung in Deutschland none of which apply to GLP-1 medicines
However, in certain populations, such as those with fatty liver disease, carnosine may be useful for improving liver function and triglyceride levels, which can decrease heart disease risk (10)
"Memphis/CWA"
If you start to notice symptoms that suggest your thyroid meds are too much , you can talk with your provider about titrating down
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