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This is seen in the PRISMA checklist which we followed for inclusion or exclusion of the studies we eventually used ( Figure 1 )

Importance of Open Communication with Your Healthcare Provider This cannot be stressed enough: always inform your doctor and pharmacist about all medications, supplements, and herbal remedies you are currently taking before starting any new prescription, especially antibiotics

4 Because levothyroxine has a narrow therapeutic range, where too little brings thyroid symptoms back, and too much can cause palpitations, anxiety, or sleep problems, the sensible approach is to keep your usual timing, monitor your blood tests, and inform your prescriber of any symptoms you experience

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