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In patients with autoimmune thyroid disease or on anti-thyroid drug therapy, increased iodine intake can induce hypothyroidism, whereas, in patients with diffuse nodular goitre or latent Graves disease, it can cause hyperthyroidism (176)

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[1] [4] Hypoglycemia Symptoms : Although tirzepatide has a low intrinsic risk of hypoglycemia, patients taking concurrent insulin or sulfonylureas may experience low blood sugar

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