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If you are using oral capsules, none of the above applies you only need the capsules themselves

Thyroid replacement therapy, thyroid stimulating hormone concentrations, and long term health outcomes in patients with hypothyroidism: longitudinal study
[DOI] [PMC free article] [PubMed] [Google Scholar] 27.Rizza S., Filomeni G

Most of these claims are based on anecdotes, not long-term human studies and these drugs can often come with long term side-effects

It could also be dehydration, inadequate protein, or micronutrient gaps in general

[PubMed: 11158008] 16
