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Some patients find their levothyroxine dose requires adjustment downward as they lose weight, though this is not universal and must be determined through blood test monitoring

[3] Gwyer, D., Wragg, N

They may arrange investigations including blood pressure monitoring (including postural readings), blood glucose profiling, full blood count to exclude anaemia, urea and electrolytes to assess hydration and renal function, and thyroid function tests if clinically indicated

The most common side effects include: Gastrointestinal issues, like constipation, diarrhea, nausea and vomiting, due to the medications effect on digestion