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For most people, the risk of rare thyroid cancers is extremely low, and the primary focus should be on how weight loss and metabolic changes affect thyroid function and medication requirements

Skipping a scheduled dose increase without consulting your provider is not recommended

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Neurogastroenterol Motil (2011) 23(11):9959, e458.10.1111/j.1365-2982.2011.01772.x 164 WatanabeMHoutenSMMatakiCChristoffoleteMAKimBWSatoHet alBile acids induce energy expenditure by promoting intracellular thyroid hormone activation

Adding the Precision Peptide Genetic Test ($298) provides data-driven confidence that your chosen medication aligns with your genetic profile, not just thyroid history

So I know we are supposed to talk about this at the end, but I think it's relevant at the beginning