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Combination therapy includes both T4 and T3 hormones in patients (pubmed, et al)

First, before starting a patient on a GLP-1 agonist, you may wish to check the FDA Drug Shortages List to ensure the patient can reliably get refills

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Perkovic V, Tuttle KR, Rossing P, Mahaffey KW, Mann JFE, Bakris G, Baeres FMM, Idorn T, Bosch-Traberg H, Lausvig NL, et al

SOUL was an international, multicenter, randomized, double-blind, placebo-controlled, parallel-group, event-driven phase 3b trial conducted at 444 sites across 33 countries

In rodent SCI models, AST treatment reduced lipid peroxidation, suppressed pro-inflammatory cytokine release, preserved neuronal and glial viability, and improved functional recovery