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The UK SmPC specifically recommends monitoring thyroid function when starting or stopping Rybelsus in patients who are taking levothyroxine

Giustarini, D., Milzani, A., Dalle-Donne, I., Tsikas, D., & Rossi, R

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The guidelines also recommend using the medication in patients with a compelling need to minimize weight gain, patients prone to hypoglycemia, and patients who need a substantial A1C reduction [38]