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Collaborative care between primary care providers and endocrinology specialists often provides optimal management for patients with both Hashimoto's thyroiditis and metabolic conditions requiring tirzepatide therapy

Metabolic improvements include enhanced insulin sensitivity, reduced hepatic steatosis, favorable lipid changes with LDL and triglyceride reductions, and improvements in systemic inflammation markers

Consider phentermine and topiramate extended-release capsules discontinuation if visual field defects occur

Diabetes mellitus: management of Gastrointestinal complications

Stop injecting in these zones and give them 8-12 weeks to recover