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Each time you handle the vial, you are introducing variables: temperature changes from your hands, light exposure, potential contamination from the needle, and mechanical agitation from movement
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Upcoming surgery (guidelines for resuming GLP-1 medications after surgery apply here), new medications with interactions, or changes in health status can also necessitate stopping

Patients should maintain consistent timing of levothyroxine administration and report any symptoms suggesting altered thyroid status, prompting laboratory reassessment
Graham GV, McLaughlin CM, Flatt PR
