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High-intensity workouts on a suppressed appetite can cause hypoglycemia, excessive fatigue, and dizziness

If your Hashimoto's is untreated or poorly controlled with TSH above 10 mIU/L, stabilize thyroid function first

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As fat stores deplete, the body undergoes stress that affects muscles, joints, and connective tissues beyond any single location

Your healthcare provider should review your treatment at least annually, considering whether continued GLP-1 therapy remains beneficial and whether dose adjustment might optimize outcomes