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Flip the vial upside down with the needle still inside

GLP-1 medications themselves do not worsen hypothyroidism

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Its not likely that lower doses that failed back then (let alone even smaller microdoses would suddenly start working for many people now

Pearls Guideline-directed medical therapy (GDMT) is indicated in all heart failure patients and improves survival, but progressive symptoms and intolerance to GDMT can be warning signs of disease progression
