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Referral to an endocrinologist is recommended for patients who are pregnant or planning pregnancy, pediatric patients, those with nodules or goiter, discordant laboratory results, persistent symptoms despite normal TSH, or suspected myxedema coma (requiring urgent care)

Most palpitations are benign sinus tachycardia or occasional premature atrial contractions caused by vagal modulation and electrolyte shifts, not structural cardiac abnormalities

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The difference is that you are more likely to have unused solution in the 60 mg vial if you are on a low dose

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