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GLP-1 receptor agonistsmedications approved for type 2 diabetes and obesityare sometimes used at very low doses in the hope of reducing side effects whilst addressing weight gain and metabolic symptoms common in Hashimoto's thyroiditis

Doubling up or taking doses too close together does not "make up" for the missed dose

Acta Physiol (Oxford, England) 222(2)

Signs of dehydration or potential kidney problemssuch as persistent vomiting, inability to keep fluids down, decreased urination, or dark-colored urineshould prompt immediate medical attention

You also might not have enough pen needles to cover all of the microdoses (youre given a set number with each months prescription), and reusing needles is never safe