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In a statement Thursday, Novo Nordisk acknowledged the update to its label, saying the company was working closely with the FDA "to continuously monitor the safety profile of our medicines." The company pointed to other drugs in the class that also have seen reports of ileus after their rollout

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For some patients with very mild hypothyroid states, nutritional supplementation to support thyroid function and proper metabolism of thyroid hormones (L-tyrosine, iodine, selenium, B-vita- mins, and thyroid glandular concentrate) may provide enough therapy to avoid the need for hormone replacement therapy, or at least lessen the dosage required.44-46 Dosages of these nutrients must be adhered to strictly