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The most important physiological effects of the GH/IGF-I axis on the cardiovascular system (CVS) and the effects of GHD on the CVS are summarized below (Figure 5) FIGURE 5

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Most patients on GLP-1 therapy lose 1-2 pounds per week, so monitoring TSH every 6-8 weeks during active weight loss helps catch any need for dose changes early

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That is exactly why medical oversight matters