Additional clinical symptoms of prolonged thiamine deficiency are related to cardiovascular and musculature defects
Most patients wont need dose changes, but a subset will see TSH drift upward and require levothyroxine dose increases of 12.5 to 25 mcg
H (400 MHz, MeOD): 4.62 (1 H, dd, J = 9.1, 4.9 Hz, H-4), 4.06 (1H, t, J = 6.4 Hz, H-1), 3.89 (1 H, d, J = 17.8 Hz, H-6 A or B ), 3.85 (1 H, d, J = 17.8 Hz, H-6 A or B ), 3.483.36 (2 H, m, PCH 2 ), 3.26 (1 H, d, J = 14.8 Hz, H-7 A or B ), 3.20 (1 H, d, J = 14.8 Hz, H-7 A or B ), 3.19 (2 H, d, J = 6.4 Hz, H-8), 3.10 (1 H, dd, J 14.0, 4.9 Hz, H-5 A or B ), 2.85 (1 H, dd, J = 14.0, 9.1 Hz, H-5 A or B ), 2.59 (2 H, t, J = 7.1 Hz, H-3), 2.332.22 (1 H, m, H-2 A or B ), 2.222.12 (1 H, m, H-2 A or B ),1.761.65 (2 H, m, CH 2 ), 1.651.51 (4 H, m, CH 2 )
Hou W, Yang S, Lu J, et al
With TrimRx, compounded semaglutide shots become part of a long-term weight management strategy that works