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The article names patients with type 2 diabetes among those who should talk with their prescribing provider first, alongside people experiencing side effects, those planning major life events, and anyone weighing long-term medication use or cost
People with autoimmune conditions like Hashimoto thyroiditis or endometriosis should discuss the combination with their specialist
Generally safe options include acetaminophen, ibuprofen/naproxen (with food), guaifenesin, saline nasal sprays, sugar-free throat lozenges, and antihistamines