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Starting with very small doses (0.05 - 0.10 mg) can reduce nausea and digestive side effects

It presents this as an exception requiring formal safeguards rather than as a routine option a patient can request

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Published evidence is summarized lower on the page

Antioxidant production is reduced in patients with inflammatory bowel diseases, even before they begin to develop any symptoms

You should always take your thyroid medication exactly as prescribedusually first thing in the morning on an empty stomachand monitor your levels closely when starting any new gut-acting medication