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We note that, because adult height is treated as constant during the treatment window, the percentage change in BMI (BMI % ) is mathematically identical to the percentage change in weight (weight % )

Understanding why requires appreciating how weight loss itself affects thyroid function: Weight loss reduces leptin levels , which can decrease TRH (thyrotropin-releasing hormone) secretion from the hypothalamus, potentially lowering TSH Improved insulin sensitivity may alter thyroid hormone metabolism and conversion of T4 to T3 Reduced inflammation from fat loss can change the thyroid hormonal milieu Changes in body composition affect thyroid hormone distribution and binding A retrospective study of over 21,000 patients found that hypothyroid individuals using semaglutide experienced modest TSH decreases alongside weight loss
Elevating your head while sleeping (using a wedge pillow or raising the head of your bed 6 inches) is one of the most effective non-medication interventions available, especially for people using semaglutide injections who experience morning reflux

As fitness improves, duration or intensity can be increased

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