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6 In addition, pH balance, nutrient composition, gastric emptying time (gastroparesis), and gut transit time are all affected by drugs like Ozempic and can lead to an alteration of gut microbial homeostasis

31 Less commonly, hyperthyroidism is caused by conditions other than Graves disease, including toxic multinodular goiter, in which non-cancerous growths in the thyroid cause the gland to swell and make too much T4

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The authors are also aware that including direct quantitation of insulin levels would have further strengthened the mechanistic interpretation of the findings, particularly in evaluating the differential insulinotropic effects of semaglutide and liraglutide