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[DOI] [PMC free article] [PubMed] [Google Scholar] 101.Dei Cas A., Micheli M.M., Aldigeri R., Gardini S., Ferrari-Pellegrini F., Perini M., Messa G., Antonini M., Spigoni V., Cinquegrani G., et al

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Additionally, signs of thyroid malfunction (persistent fatigue, unexplained weight gain despite medication, or neck swelling) and symptoms of severe allergic reaction (difficulty breathing, facial swelling, or hives) require emergency evaluation and should prompt you to discontinue the medication until cleared by a healthcare provider
