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Both drugs are synthetic versions of those hormones, designed to activate specific receptors in the body

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NHS advice highlights how frequent this issue is

Patients should be monitored for signs of dehydration, electrolyte abnormalities, and nutritional deficiencies, particularly if gastrointestinal side effects limit intake

Some patients require levothyroxine dose adjustments as body weight decreases and metabolic demands change, though this is not universal

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