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Baseline thyroid panels before starting, then repeat testing at 46 weeks, 3 months, and 6 months ensure levothyroxine absorption and TSH remain stable

it can worsen symptoms of bipolar disorder and increase the risk of conditions like heart disease or diabetes

Statistical significance was defined as a P value less than 0.05

**Compounding pharmacies** -- Available with a prescriber order from licensed 503A/503B pharmacies in the US 3

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