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Reported side effects include water retention, flushing, headache, tingling in the extremities, elevated IGF-1 levels, impaired glucose tolerance, and injection site reactions including pain and infection risk
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Real-world scenarios and what to do Scenario 1 On levothyroxine and reading about L-carnitine online: call your thyroid prescriber, measure baseline TSH and free T4, and plan to recheck labs 48 weeks after starting
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