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This medication has specific safety warnings and guidelines to ensure its proper use and to prevent potentially serious health issues. Below is a summary of important risks and precautions:

• Not for Weight Loss: This medication is not intended for weight loss. Standard doses are ineffective for this purpose, and excessive doses can lead to severe, potentially life-threatening side effects, particularly when combined with diet pills.

• Heart Problems: High doses can lead to heart issues, especially in older adults or those with pre-existing heart conditions. Symptoms such as rapid or irregular heartbeat, chest pain, or difficulty breathing require immediate medical attention. In such cases, your healthcare provider may need to adjust your dosage or discontinue the medication.

• Adrenal Crisis: Rarely, individuals with low thyroid and adrenal hormone levels might experience an adrenal crisis. If you have Addison's disease, it is crucial to address this condition before managing your thyroid levels to prevent further complications.

• Diabetes Management: This medication can increase blood sugar levels, particularly when starting the treatment or adjusting the dose. Patients with diabetes should monitor their blood sugar levels closely and may need dosage adjustments for their diabetes medications.

• Bone Health: High doses may lead to weakened bones, with postmenopausal women being more susceptible. To mitigate this risk, healthcare providers will aim to prescribe the lowest effective dose. Maintaining a healthy diet, regular exercise, and limiting alcohol intake can help support bone health.

• Contraindication: This medication should not be used if you have uncorrected adrenal insufficiency due to the potential for severe health risks.

If you experience any adverse effects or have questions about using this medication, please consult your healthcare provider for guidance.

When taking this medication, you might experience some side effects, which vary in severity. Commonly, individuals may notice hair loss during the initial months, but this is usually temporary as the body adapts. Other mild side effects include headaches, nervousness, trouble sleeping, tiredness, increased hunger, diarrhea, vomiting, stomach cramps, weight loss, excessive sweating, and muscle weakness. These effects are often mild and should diminish over time. However, if they persist or worsen, consulting your healthcare provider is advisable.

In more serious cases, side effects can indicate high thyroid hormone levels. These include increased sweating, sensitivity to heat, mood changes such as nervousness or mood swings, tiredness, diarrhea, shaking, headache, shortness of breath, and bone pain. It's important to contact a healthcare professional if you experience these symptoms.

Immediate medical attention is crucial if you encounter severe side effects like chest pain, rapid or irregular heartbeat, swelling in the hands, ankles, or feet, or seizures. Such symptoms may indicate heart-related issues, like heart failure or a heart attack, characterized by trouble breathing, dizziness, anxiety, nausea, cold sweat, or chest tightness.

Though rare, allergic reactions to this medication can occur. Symptoms include rash, itching, swelling of the face, tongue, or throat, severe dizziness, and difficulty breathing. If you notice these signs, seek urgent medical help. Always report any side effects to your healthcare provider to ensure safe and effective treatment.