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Patients should be educated about symptoms of both hypothyroidism (fatigue, cold intolerance, weight gain, constipation) and hyperthyroidism (anxiety, palpitations, heat intolerance, tremor) to facilitate early detection of thyroid dysfunction

Annu Rev Biochem 1983

The liver influences neurological function indirectly by regulating medications, steroid hormones, inflammatory compounds, ammonia, bilirubin, copper transport and many products absorbed from the gut

Open communication about symptoms and concerns is essential for safe medication management

Titration matters: Both medications start at low doses and increase gradually