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About 6.5% developed hypothyroidism during trials, which is why thyroid labs are standard monitoring

GLP- 1 Receptor Agonists in Combination with Insulin The GLP- 1 receptor agonists have been shown to improve blood glucose control when used in conjunction with insulin, particularly basal insulin, and may be particularly useful in the treatment of advanced T2DM [108]

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Without human studies, it doesnt mean it enhances ovulation, egg quality, or pregnancy rates in women