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Update on the management of diabetes in long-term care facilities

Rubino, F.M

Standard practice includes: Baseline thyroid function tests (TSH and free T4) before initiating GLP-1 therapy Repeat testing at 812 weeks after starting treatment or after dose escalation Regular monitoring every 36 months during active weight loss Return to annual monitoring once weight is stable and thyroid function remains consistent Adjustments to levothyroxine dosing may be necessary as weight changes

For those who prefer oral medication, the Wegovy pill is available along with Foundayo, an innovative oral GLP-1 option devoid of dietary constraints

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