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In addition to medications that cause false alterations in thyroid lab results, there are also medications that have actual drug interactions with thyroid hormones, and the altered labs are a real reflection of how the addition of a new drug impacts the activity of thyroid hormones in the body

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Hypertens Res 48 , 880881 (2025)

The problem is extended room-temperature storage, repeated warming, leaving the vial on a bench, or shipping and storing reconstituted solution outside a controlled cold chain