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Basically, to get SIBO, one or more of these protective mechanisms needs to fail
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Your TSH and free T4 should be stable (typically within target range for at least 6 weeks) before adding tirzepatide
You should also review your complete medication list with your provider, including any thyroid medications, diabetes drugs, or blood pressure treatments, as semaglutide can potentiate the effects of some medications and lower blood glucose in susceptible patients
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