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Patients should be advised to eat smaller, more frequent meals, avoid high-fat foods, stay well-hydrated, and report severe or persistent symptoms

Next Steps to Feeling Better If you are experiencing symptoms such as fatigue, brain fog, constipation, muscle weakness and aches, and digestive issues even after starting thyroid hormone treatment it can be due to a single root cause, such as a deficiency in carnitine

In addition, there is a U-shaped association between selenium exposure and some diseases, such as type 2 diabetes and fractures [117]

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In some patients, this temporarily raises uric acid and can trigger a gout flare in the first few months