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The intention-to-treat numbers include everyone regardless of switching or stopping closer to what real prescribing looks like

Pai AH, Wang YW, Lu PC, Wu HM, Xu JL, Huang HY

If youve gone through all 4 of those areas and you are still having issues then you may need to consider swapping over to a different thyroid medication

Additionally, fatigueanother reported side effectcan contribute to emotional vulnerability and reduced stress tolerance

Diabetes Res Clin Pract 183:109119 Phelps NH, Singleton RK, Zhou B et al (2024) Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults