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Side effects included nausea (53.7% of patients), diarrhea (14.7%) and vomiting (24.4%)

Common side effects are increased urination and thirst, constipation, and nausea

Supplementation with B12 may be advised for these groups, and it can be administered orally, through fortified foods, or by injection in cases where absorption may be impaired

There is one absolute contraindication that every thyroid patient must know about

Given the limitations of the prevailing monoamine hypothesis-based pharmacotherapy, glutamate and glutamatergic related pathways may offer an alternative and a complementary option for designing novel intervention strategies

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