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Nadosky helped establish that initiative: I was the medical director for Sequence (now Weight Watchers Clinic) at the beginning

GLP-1 receptor agonists like semaglutide have demonstrated significant efficacy for weight management, but patients with autoimmune thyroid disease require individualized safety assessments and closer clinical monitoring to optimize outcomes

Rapid weight loss can occasionally trigger gallstones, and dehydration from gastrointestinal side effects can strain the kidneys

however, it is advisable to include thyroid function tests in the routine screening of diabetic patients, particularly those treated with GLP-1 Ras, with the goal of optimizing patient care and management