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A major signal of this trend moving into Europe came in June 2025, when Hims & Hers announced its acquisition of Zava, a European telehealth platform with operations in the UK, Germany, France, and Ireland

Standard evaluation of thyroid nodules in the US includes thyroid-stimulating hormone (TSH) testing, high-quality thyroid ultrasound with risk stratification, and fine-needle aspiration (FNA) biopsy based on size and ultrasound risk features

Step 4 Monitoring and Dose Optimization: Follow-up at 48 week intervals with weight tracking, metabolic marker monitoring, and dose adjustment based on response and tolerability