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All strengths will be available from the manufacturer as the shortage has ended, but after April 22, 2025, compounding pharmacies will be only able to make custom doses

Switching patterns following formulary change Switching from AOM tirzepatide remained rare prior to May 2025, averaging 0.6% of patients who switched to a different GLP-1 in the following month

Preventing Deficiencies Given semaglutides influence on gastric emptying, supplementation with B6 and B12 ensures the body maintains adequate nutrient levels, minimizing health risks and supporting the medications effectiveness

Access to healthcare professionals: These services work with board certified healthcare professionals to review responses, provide consultations, and prescribe medication

Since semaglutide injections are not taken orally, they do not directly compete with levothyroxine absorption, but the delayed gastric motility from GLP-1 use means your provider may want to recheck thyroid labs after dose adjustments to ensure adequate hormone absorption