N Engl J Med 2023;389:2221-2232
Symptoms worth watching for If youve been stable on levothyroxine for many years and start Wegovy, these symptoms suggest your thyroid levels may have changed: Returning fatigue, feeling colder, constipation, or low mood, which can mean your levels have dropped A racing heart, anxiety, tremor, sweating, or trouble sleeping, which can mean your levels are too high, sometimes after weight loss has reduced how much levothyroxine you need None of these is an emergency on their own, but theyre worth mentioning to your GP
Dehydrated muscles in the upper back may feel stiff or painful, especially when bending, lifting, or twisting
However, FDA enforcement policy allows CBP officers discretion for personal-use quantities up to a 90-day supply