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This medication is not intended for weight loss and using it for such purposes can pose significant health risks. It's important to be aware of the following precautions and warnings to ensure safe use. Please review them carefully and discuss any concerns with your healthcare provider.

• Not for Weight Loss: This medication should never be used to lose weight. Using it in normal doses will not achieve weight loss, and high doses can lead to severe, potentially life-threatening side effects, especially if combined with diet pills.

• Adrenal Insufficiency Risk: If you have low thyroid hormones and adrenal hormones concurrently, initiating thyroid hormone replacement can further decrease adrenal hormones, leading to an adrenal crisis. Symptoms such as persistent fatigue, muscle weakness, loss of appetite, stomach pain, or dizziness require immediate medical attention. Your healthcare provider should assess your adrenal hormone levels before starting treatment. This is particularly important for those with adrenal insufficiency or Addison's disease.

• Diabetes Management: This medication may alter the effectiveness of diabetes treatments. Regular monitoring of blood sugar levels is essential, and adjustments to diabetes medications may be necessary. Report any abnormal blood sugar readings to your healthcare provider.

• Heart Issues: Excessive doses can lead to heart complications, more so in older adults or individuals with pre-existing heart conditions. Seek medical help if you experience symptoms like rapid or irregular heartbeat, chest pain, or shortness of breath. Dose adjustments might be required if heart-related symptoms develop or worsen.

• Medication Interactions: This medication can impact the levels of certain drugs in your system, such as oral anticoagulants, insulin, and oral diabetes medications. Conversely, other medications, including some cholesterol drugs and oral contraceptives, can affect the levels of this medication. Discuss all medications you are taking with your healthcare provider to avoid adverse interactions.

• Contraindications: This medication should not be used if you have untreated adrenal insufficiency or untreated thyrotoxicosis, as it can pose serious health risks. Consult your healthcare provider if you have any of these conditions before starting the medication.

Always follow your healthcare provider's instructions and contact them if you have any concerns or experience any adverse effects.

When taking this medication, some individuals may experience hair loss initially. This is usually temporary as the body adjusts. If it persists or worsens, consult your healthcare provider. Common side effects are generally mild and include nervousness, irritability, tiredness, muscle weakness, difficulty tolerating heat, trouble sleeping, shaky hands, fast heartbeat, diarrhea, weight loss, and mood swings. These symptoms are often linked to high thyroid hormone levels and should be monitored.

While many people tolerate the medication well, serious side effects can occur, though they are rare. These include chest pain, rapid or irregular heartbeat, swelling of the hands, ankles, or feet, seizures, and severe allergic reactions, such as rash, itching, swelling of the face, tongue, or throat, severe dizziness, and difficulty breathing. If any severe symptoms arise, seek medical attention immediately.

It's important to remember that while these side effects are possible, they are not experienced by everyone. If you notice any effects not listed or have concerns about the side effects, contact your healthcare professional for guidance.