Practical timing strategies include: For oral semaglutide users: Take Rybelsus first upon waking with 4 oz water, wait at least 30 minutes, then take levothyroxine, and wait an additional 30-60 minutes before eating Alternatively, consider consistent bedtime levothyroxine dosing (3-4 hours after the last meal) Weight Loss Considerations : Significant weight reduction from semaglutide therapy can alter thyroid hormone requirements
RL and MK were supported by the Academy of Finland, AoF, Centre of Excellence in Molecular Systems Immunology and Physiology Research (20122017, grants 250114 and 292482)
Iepsen EW, Lundgren J, Holst JJ, Madsbad S, Torekov SS
However, underneath the surface, the figures are striking: market share declined from 80% in Q4 2024 to 57% in Q2 2025 a reduction of 23%(!) in just one year
They can help boost energy levels, which may indirectly support a healthy weight loss regimen when combined with proper diet and exercise