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CT of the chest, to look for a thymoma, a tumour of the thymus gland found in a proportion of patients and relevant to treatment

Linnebjerg H, Park S, Kothare PA, et al

(Cochrane Metabolic and Endocrine Disorders Group) (June 2020)

Expert Opin Pharmacother (2012) 13:8199

Standard practice recommends taking levothyroxine on an empty stomach, 30-60 minutes before breakfast or at bedtime (at least 3-4 hours after the last meal), and separated from calcium and iron supplements by at least 4 hours

Mild Side Effects Side effects may include nausea, vomiting, diarrhea, constipation, abdominal pain, fatigue, dizziness, and hypoglycemia