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This is not due to thyroid damage, but rather because: Weight loss alters hormone needs Improved metabolic health can change dosing requirements My Clinical guidance to patients: If you lose 1020 pounds, recheck thyroid labs within 812 weeks to avoid over- or under-treatment

The glucagon receptor component is hypothesised to increase energy expenditure and promote fat breakdown (lipolysis), potentially offering additional weight loss benefits

My hormone doc suggested giving semaglutide a try (Ozempic, Wegovy)

Clinical studies show comparable effectiveness in blood sugar control and weight loss between daily oral and weekly injectable semaglutide when doses are optimized

Rao says, Its never a good idea to stop cold turkey, and it is critical to consult with your doctor before adjusting your doses