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This effect is separate from any direct drug-thyroid interaction and is a normal physiological response to weight reduction

Nutr Res Practice 3(2):156161 Kimura S, Tung Y-C, Pan M-H, Su N-W, Lai Y-J, Cheng K-C (2017) Black garlic: a critical review of its production, bioactivity, and application

Vorburger SA, Hetrakul N, Xia W, Wilson-Heiner M, Mirza N, Pollock RE, Feig B, Swisher SG , Hunt KK

For example, lectins are found in beans and grains, and oxalates are high in spinach and nuts

GLP-1 agonists and dual GLP-1/GIP agonists are the newest ones, but older drug classes like lipase inhibitors, phentermine, and combination medications may be appropriate in certain circumstances