Levothyroxine requirements often increase during pregnancy Previous adverse reactions to any medications, particularly GLP-1 receptor agonists or thyroid preparations Discuss your current control and symptoms: Recent thyroid function test results (TSH, free T4) and symptoms of hypothyroidism or hyperthyroidism Current glycaemic control (HbA1c levels) and any episodes of hypoglycaemia Any gastrointestinal symptoms, as Rybelsus commonly causes nausea, vomiting, and diarrhoea, particularly when starting treatment Establish a monitoring plan with your healthcare team
Despite the name, they contain no GLP-1 receptor agonist drug
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Ethical approval As this submission is a review article ,it does not involve humans and animals, and no ethical approval was required for this publication