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Allergy (2021) 76:343345

Evidence and Guidance Breast cancer survivors often face metabolic challenges including weight gain and insulin resistance following treatment

Clinicians should monitor thyroid function tests (TSH, free T4) at: Baseline before starting weight loss injections 6-8 weeks after achieving maintenance dose Every 3-6 months during active weight loss After significant weight stabilization Symptoms of overreplacement (palpitations, anxiety, tremor, heat intolerance) should prompt earlier testing

Notably, the clinical evidence does not support a desensitization requirement: the Biolcati et al

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