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I had seen a number of anecdotal reports, case reports, and literature describing similar symptoms as this particular patient

Levothyroxine requirements often increase during pregnancy Previous adverse reactions to any medications, particularly GLP-1 receptor agonists or thyroid preparations Discuss your current control and symptoms: Recent thyroid function test results (TSH, free T4) and symptoms of hypothyroidism or hyperthyroidism Current glycaemic control (HbA1c levels) and any episodes of hypoglycaemia Any gastrointestinal symptoms, as Rybelsus commonly causes nausea, vomiting, and diarrhoea, particularly when starting treatment Establish a monitoring plan with your healthcare team

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Superficial Calcified Plates Associated to Plaque Erosions in Acute Coronary Syndromes