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Patients should seek medical evaluation if they experience: Persistent symptoms despite adequate levothyroxine replacement (confirmed by normal TSH) Rapid thyroid enlargement or development of thyroid nodules Difficulty swallowing or breathing related to thyroid enlargement Symptoms suggesting thyroid hormone over-replacement (palpitations, tremor, anxiety, heat intolerance) Regular monitoring of thyroid function is essential for patients with Hashimoto's disease

This can potentially reduce the effectiveness of oral contraceptive pills, putting users at risk of unintended pregnancy

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Important Safety Note: Because both peptides promote angiogenesis (the creation of new blood vessels) and cell migration, strict safety protocols must be observed