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The frequency appears highest during the initial weeks of treatment and during dose escalation periods

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Appetite starts shifting gently

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A USB-powered portable medical fridge is your best bet

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I was frequently nauseous and had severe heartburn if I ate anything when I wasn't hungry

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During the initial week, your body is adjusting to the introduction of the hormone mimic

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Contact your GP or prescribing clinician if you experience cold intolerance accompanied by other symptoms that might suggest thyroid dysfunction, such as: Extreme fatigue or weakness that interferes with daily activities Unexplained weight gain or cessation of weight loss despite adherence to treatment Significant hair loss or changes in hair texture Persistent constipation unresponsive to usual measures Dry, flaky skin or changes in skin texture Muscle aches, cramps, or weakness Slowed heart rate Depression or significant mood changes Cognitive difficulties, including memory problems or difficulty concentrating These symptoms could indicate hypothyroidism , which requires investigation through thyroid function tests (TSH, free T4)

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