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Because you're in a caloric deficit (or should be)

Lessons learned from the 1-hour post-load glucose level during OGTT: Current screening recommendations for dysglycaemia should be revised

Like all drugs in this class, they carry a boxed warning on the US label that they should not be used in persons with a personal or family history of medullary thyroid cancer or multiple endocrine neoplasia type 2 because of a signal in rodents that these medications have a dose- and duration-dependent risk of thyroid C-cell tumors [18, 19]

If you are on thyroid hormone medication, prior to starting Saxenda, please review the timing of taking your thyroid hormone medication with the doctor who prescribes it as it may need to be adjusted.The drug levels of medications with narrow therapeutic windows (ie warfarin) should be monitored closely while on Saxenda