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It is important to understand the safety and warnings associated with the use of this medication to avoid any potential health risks. Below are key points you should be aware of:

• Not for Weight Loss: This medication should not be used as a weight loss aid. Standard doses are ineffective for weight loss, and excessive dosages may result in severe, possibly fatal side effects, especially when combined with diet pills.

• Adrenal Crisis Risk: In rare instances, individuals may experience low thyroid and adrenal hormone levels simultaneously. Initiating thyroid hormone replacement without addressing adrenal hormone levels can exacerbate the situation. Your healthcare provider should assess your adrenal hormone levels before prescribing this medication. Seek immediate medical attention if you experience persistent fatigue, muscle weakness, loss of appetite, stomach pain, or dizziness.

• Diabetes Management: This medication may alter the dosage requirements of diabetes medications. You should monitor your blood sugar levels as instructed by your healthcare provider. If you notice an increase in your blood sugar levels, consult your healthcare provider, as you may need an adjustment in your diabetes medication dosage.

• Heart Problems: Excessive doses of this medication can lead to heart complications, particularly in older adults or those with pre-existing heart conditions. Contact your healthcare provider or seek medical attention if you experience rapid or irregular heartbeat, chest pain, or shortness of breath. Your dosage may need adjustment if you develop new or worsening heart issues.

• Medication Interactions: This medication can influence the levels of certain other drugs in your body, such as oral anticoagulants, insulin, and oral diabetes medications. Conversely, other medications, including some cholesterol medications and oral contraceptives, may impact the levels of this medication in your system.

• Contraindications: Do not use this medication if you have untreated adrenal insufficiency or untreated thyrotoxicosis. If you fall into either category, consult your healthcare provider for guidance.

Always consult your healthcare provider for personalized advice and before making any changes to your medication regimen.

When taking this medication, you might experience some mild side effects, particularly during the initial months. Hair loss is one such effect, generally temporary as your body adjusts. If it persists or worsens, it's important to talk to your healthcare provider. Common side effects related to elevated thyroid hormone levels can include increased sweating, sensitivity to heat, nervousness, irritability, tiredness, muscle weakness, trouble sleeping, shaky hands, fast heartbeat, diarrhea, weight loss, and mood swings. These are usually manageable, but if they become concerning, seek advice from a healthcare professional.

More serious side effects are rare but should be addressed immediately. Symptoms like severe chest pain, a fast or irregular heartbeat, swelling of hands, ankles or feet, seizures, or severe allergic reactions such as rash, itching, swelling of the face, tongue, or throat, severe dizziness, and trouble breathing necessitate urgent medical attention. Though these occurrences are uncommon, they are significant and warrant prompt response. Always report any new or worsening symptoms to your doctor to ensure your safety and well-being while on this medication.