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Trenson, L., Trenson, S., van Nes, F., Moyson, C., Lannoo, M., Deleus, E., Meulemans, A., Matthys, C., Mertens, A., Van der Schueren, B., & Vangoitsenhoven, R

This can lead to a variety of symptoms including anxiety, irritability, poor focus, fatigue, difficulty sleeping, fatigue, heat intolerance, muscle weakness, twitching, diarrhea, excessive thirst, heart palpitations, hair loss, increased appetite, even an enlarged thyroid gland (known as a goiter)

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This destroys some of the medicine, so many oral medications are less effective in people taking Ozempic