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Support your gut health Given the gut-brain connection and the role of the microbiome in producing serotonin and melatonin, supporting gut health can be a meaningful part of a sleep strategy during perimenopause

In addition to these common side effects, semaglutide carries a boxed warning for thyroid tumors based on animal studies

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Always keep it in the dark and avoid agitation

This decision should be based on response, side effects, hunger, weight trend, labs, and patient goals

Critical Biomarkers to Monitor Before and During GLP-1 Therapy Baseline lab work establishes your metabolic starting point and informs safe medication selection and dosing