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This distinction underscores the importance of viewing GLP-1RAs as systemic immunometabolic modulators with secondary effects on thyroid autoimmunity, rather than as agents with direct thyroidal targets

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First injection and training (if starting same-day) Step-by-step instruction on drawing and injecting You do your first injection under supervision Take home written instructions and supplies Schedule first follow-up in 4 weeks Most first responders from Orange County communities like Costa Mesa, Huntington Beach, and Newport Beach tell us the consultation was the most thorough medical conversation they’ve had in years

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