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Hypothyroidism slows metabolism, making weight management particularly challenging even with optimal levothyroxine replacement
Monthly office visits to track progress and titrate dosing of the medication
Taking a dose one day early may slightly increase gastrointestinal side effects such as nausea but is generally well tolerated
All were relatively healthy (they didn't use tobacco and had normal blood pressure and cholesterol levels)
Prasad-Reddy, L., & Isaacs, D
