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You can either take levothyroxine 30 minutes after your morning Rybelsus dose, or take Rybelsus in the morning and levothyroxine at bedtime (34 hours after eating)

Patients should talk to a doctor if they face: Ongoing insomnia lasting weeks Feeling anxious or restless during the night Extreme tiredness during the day that affects daily tasks Sleep interruptions are getting worse with medication dose increases Talking to a doctor can stop the need to pause treatment

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Nejati, R., Bijeh, N., Rad, M.M

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But in the next article, I will share what happens when GLP-1 meets a regular diet, and it gets worse.