If it is within 3-4 hours before you should take your next dose, skip the forgotten dose
Symptoms worth watching for If youve been stable on levothyroxine for many years and start Wegovy, these symptoms suggest your thyroid levels may have changed: Returning fatigue, feeling colder, constipation, or low mood, which can mean your levels have dropped A racing heart, anxiety, tremor, sweating, or trouble sleeping, which can mean your levels are too high, sometimes after weight loss has reduced how much levothyroxine you need None of these is an emergency on their own, but theyre worth mentioning to your GP
Switching between formulations does not require a new titration if you are switching at the same dose
Lab work: Periodic monitoring of HbA1c, fasting glucose, lipids, and liver enzymes helps track metabolic improvement
This has led to its off-label use as a weight loss aid