There is no specific timeframe, but you should be fully recovered from surgery and cleared by your healthcare provider before starting Wegovy
That is the point of the monitoring
This includes confirming that their facilities are designed for sterile preparations, that their staff is properly trained, and that they perform necessary testing on their compounded products
Proper prescribing requires understanding titration schedules, contraindications, side effect profiles, and patient selection criteria
Two things can shift your thyroid needs during weight loss: Absorption variability (especially early on with dose increases) BNF Body weight changes (thyroid replacement dose requirements can change as weight changes) A practical approach many clinicians use is: Check TSH ( free T4) about 68 weeks after : starting tirzepatide, or a significant dose escalation, or a big, sustained drop in weight NICE also flags that because tirzepatide delays gastric emptying, some oral medicines (particularly those with a narrow therapeutic index) may need monitoring during escalation
Initial studies demonstrated that phoenixin stimulates gonadotropin-releasing hormonedependent luteinizing hormone secretion, implicating it in reproductive regulation (Yosten et al., 2013)
