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[13] [14] The UK SmPC advises that patients should be counselled on symptoms of thyroid tumours (such as a lump in the neck, persistent hoarseness, difficulty swallowing) and seek prompt medical attention if these occur

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Holding weight off at this stage relies on remaining on meds and good habits

Patients should be counselled before starting treatment that gastrointestinal symptoms are common, particularly in the early weeks, and that they often diminish over time as the body adjusts to the medication

The standard escalation protocol exists for good reason