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Semaglutide acts on the GLP-1 receptor

Focus on foods that are less likely to cause fermentation and bloating, such as lean proteins, non-starchy vegetables, and healthy fats, while temporarily reducing high-fiber foods, carbonated beverages, and artificial sweeteners

Megalin (gp330): a putative endocytic receptor for thyroglobulin (Tg)

Semaglutide slows gastric emptying, which could theoretically reduce levothyroxine absorption if taken together, so space them apart by at least one hour if possible

GLP-1 medications do not cause these symptoms, but they do not exclude underlying cardiac conditions, so prompt evaluation protects your safety