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If you already have a thyroid nodule: Benign nodules are not a contraindication Routine surveillance should continue as recommended Screening ultrasounds are not required just because you start a GLP-1 medication A physical exam and baseline thyroid labs are usually sufficient

Keeping a food and symptom journal during the first few weeks helps separate actual physiological changes from expectation-driven perception

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Shin JI, Xu Y, Chang AR, Carrero JJ, Flaherty CM, Mukhopadhyay A, Inker LA, Blecker SB, Horwitz LI, Grams ME

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