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Patients on both medications should maintain consistent timing, avoid calcium and iron supplements near thyroid medication, and communicate with their provider if gastrointestinal symptoms (nausea, constipation) worsen
This isnt just about weight loss
Nausea and gastrointestinal symptoms peak during weeks 6-8, then improve substantially by week 12
But, as with any drug, GLP-1s should be used under the close supervision of a health care professional and sourced from state-licensed pharmacies
Additionally, in our patients with diabetes who are often on multiple medications it can be difficult to coordinate taking colesevelam with these other medications
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