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gastrointestinal tolerance changed

Over time, this chronic immune attack results in a gradual loss of functional thyroid tissue, with the clinical course typically progressing from an initial euthyroid state to subclinical hypothyroidism and, in a subset of patients, overt hypothyroidism requiring lifelong thyroid hormone replacement [13,14]

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Monitor usage times: Ozempics in-use window is up to 56 days

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Rare adverse effects specific to cyanocobalamin may include mild transient diarrhea, particularly with initial doses, and very rarely, allergic reactions in sensitive individuals