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While these medications do not directly cause hypothyroidism, significant weight loss can sometimes unmask subclinical thyroid disease or necessitate adjustment of thyroid hormone replacement in patients with pre-existing hypothyroidism

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Injection-related side effects may also occur, including swelling or pain at the injection site

Using the Pen: Subcutaneous Technique Basics The pen is designed for subcutaneous injection, so use it as directed rather than transferring medicine into a syringe

or if you are also taking eplerenone

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