Figures 1B , 3 ), resulting in down-regulation of the hepatic GHR expression, as inferred from reductions in circulating levels of GHBP (59), and decreased GH binding (60)
Many reproductive health providers recommend switching to a LARC when starting GLP-1 therapy if pregnancy prevention is critical
Add in the steady stream of trends on social media (cortisol cocktail, anyone?), and the picture gets even murkier
When the patients diet was changed to include full supplementation of amino acids, the patient saw a rapid increase in both T4 and T3 levels, as well as a decrease in TSH
Which is concerning
References Atrooz F, Salim S (2020) Sleep deprivation, oxidative stress and inflammation