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Pre-start checklist Before your first injection, these items need to be completed: Thyroid function optimized: Your TSH should be within your optimal range (not just "normal," but where you feel best, often in the lower half of the reference range for Hashimoto's patients)

The muscle mass loss it causes can be dangerous and as soon as you stop the medicine, the weight comes back with a vengeance, says Chouksey, 40

Our staff is here to set realistic expectations, motivate you through challenges, and help you make the long-term commitment needed for lasting weight management

JAMA 330 (18), 17951797