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This medication is not intended for weight loss and its use in this manner is ineffective and potentially dangerous. High doses, particularly when combined with diet pills, can lead to severe and possibly fatal side effects. Below are important safety considerations and warnings associated with this medication:

• Weight Loss Warning: Do not use this medication for weight loss. Normal doses are ineffective, and high doses can cause serious health risks, especially if taken with other weight loss drugs.

• Adrenal Crisis Risk: In rare cases, low thyroid and adrenal hormone levels may occur simultaneously. Initiating thyroid hormone replacement without addressing adrenal insufficiency can worsen the condition. Your healthcare provider should check adrenal hormone levels before starting treatment. Seek immediate medical attention if you experience symptoms such as persistent fatigue, muscle weakness, loss of appetite, stomach pain, or dizziness.

• Diabetes Management: This medication can alter blood sugar levels, necessitating adjustments to your diabetes medications. Regularly monitor your blood sugar as instructed by your healthcare provider and report any unusual changes for potential dose adjustments.

• Heart Health Concerns: Excessive doses can lead to heart issues, particularly in older adults or those with pre-existing heart conditions. If you experience rapid or irregular heartbeat, chest pain, or shortness of breath, seek medical advice promptly as your dosage may need to be adjusted.

• Drug Interactions: This medication can affect or be affected by other drugs, including oral anticoagulants, insulin, oral diabetes medications, cholesterol medications, and oral contraceptives. Discuss all medications you are taking with your healthcare provider to manage any potential interactions.

• Contraindications: Do not use this medication if you have untreated adrenal insufficiency or untreated thyrotoxicosis, as it poses significant health risks.

Always consult your healthcare provider for personalized advice and before making any changes to your medication regimen. In the event of an overdose, seek emergency medical assistance immediately.

When taking this medication, some individuals may experience temporary hair loss during the first few months. This is generally mild and tends to resolve as your body adjusts. If hair loss continues or worsens, it's advisable to consult your healthcare provider. Many users of this medication do not encounter serious side effects, but be aware of potential symptoms related to high thyroid hormone levels. These may include increased sweating, heat sensitivity, mood swings, tiredness, diarrhea, trembling hands, headache, and breathlessness.

In more severe cases, symptoms like chest pain, rapid or irregular heartbeat, swelling of the extremities, and seizures may occur, requiring immediate medical attention. While a serious allergic reaction is rare, it is crucial to seek urgent care if you experience a rash, significant swelling, severe dizziness, or difficulty breathing. Other reported side effects include nervousness, irritability, muscle weakness, trouble sleeping, and weight loss.

These side effects are important to monitor, and contacting a healthcare provider if they persist or become severe is recommended. Always remain vigilant for any unlisted side effects and discuss them with your healthcare professional.