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Research protocols distinguish between loading phase (first 1421 days) and maintenance phase (remaining 610 weeks)
According to American Thyroid Association guidelines, treatment is typically initiated when TSH rises above 10 mIU/L or when TSH is between 4.5-10 mIU/L with symptoms or positive thyroid antibodies
doi: 10.1093/nar/gki273 61 PaulA.-L.ElardoS
Slower dose titration may help reduce nausea and vomiting, thereby limiting electrolyte losses
But there is another equally important diagnosis: Understanding fear, expectations, and lifestyle goals
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