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Not everyone experiences side effects, and the side effects may or may not occur immediately after taking the medication

Your provider will check TSH and free T4 before starting and periodically after, adjusting levothyroxine as needed due to weight-loss-related changes in hormone requirements

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Iron may need monitoring, especially if you had any postpartum anemia

One study of 951 men and women aged 65 and older found significantly higher levels of IGF-1 among those who ate more selenium, independent of other factors like energy and alcohol intake (50)