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Conversely, symptoms suggesting excessive thyroid hormone replacement (hyperthyroidism), including palpitations, tremor, anxiety, heat intolerance, or insomnia, particularly in the context of significant weight loss, warrant evaluation and possible levothyroxine dose reduction

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O., Robles-Snchez, M., Astiazaran-Garca, H., Alvarez-Parrilla, E., & Gonzlez-Aguilar, G

Clinical trials (SURPASS for type 2 diabetes and SURMOUNT for obesity) have demonstrated substantial weight reduction in people taking tirzepatide, with weight loss varying by indication, dose, and population

Not recommended for children and pregnant women (caffeine content 18 mg per serving)
