The inositol phosphatecalcium (IP 3 /Ca 2+ ) pathway, which controls intracellular calcium release and promotes thyroid hormone production, is how myo-inositol serves as a second messenger of thyroid-stimulating hormone (TSH) [7,41,45,50]
Option 2: keep both in the morning, in order If youd rather keep levothyroxine in the morning, we recommend you take it second, after the Wegovy pills 30-minute window: Take the Wegovy pill as soon as you wake up, with a small sip of water Wait at least 30 minutes, with no food, drink, or other tablets Take your levothyroxine with water Wait a further 30 minutes or so before breakfast, tea, or coffee This approach maintains a gap between the two medications rather than taking them together
Haycock 2002)
Zeng X, Xie YJ, Liu YT, Long SL, Mo ZC
OCT2, organic cation transporter 2 (OCT2)