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I recommend testing thyroid hormone levels every six to 12 weeks while using complementary therapies, including root cause approach-based medicine, diet, or supplements, to ensure your thyroid medication dosage is optimized, or sooner, if you are showing any of the above symptoms

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Patients who begin at a therapeutic maintenance dose typically experience more severe nausea and are more likely to discontinue prematurely

Environmental chemical-induced intestinal microbiome alternations might lead to systemic effects in the host ( TCE exposure, which is known to induce/exacerbate SLE in both experimental animals and humans, is also reported to cause alterations in the gut microbiome with increased abundance of genus Bifidobacterium and bacterial family Enterobacteriaceae as well as lower abundance of the genus Bacteroides and Lactobacillus in MRL+/+ mice at a high but occupationally relevant TCE dose compared to controls (105)

Ask your doctor about older weight-loss drugs, including Saxenda, Contrave and Qsymia