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We note a fundamentally different metabolism between small molecule-based GLP-1 agonists, such as Pfizers drug versus peptide-based drugs like Novos, Truist analyst Joon Lee said in a note

So some healthcare providers began prescribing other semaglutide medications to their patients instead

Clinical Practice Guidelines for Hypothyroidism in Adults: Cosponsored by the American Association of Clinical Endocrinologists and the American Thyroid Association. Thyroid, 22(12), 1200-1235

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While people anecdotally report sleep issues on semaglutide, further research is needed