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Adding more or less water is fine, but it will change your final concentration, so you must adjust your calculations accordingly
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Possible Clinical Consequences: Elevated TSH levels Fatigue, weight gain, cold intolerance Persistent or worsening hypothyroid symptoms Pharmacist Counseling Tip: Advise patients to take thyroxine early morning on an empty stomach, with water only, and maintain a minimum 4-hour interval before consuming calcium or iron supplements
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Expect results in weeks, not days
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