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And the 86-degree threshold is a hard ceiling, not a recommendation

Any medication or substance that delays stomach emptying could potentially affect levothyroxine bioavailability, though clinical data on this specific pairing remains limited

Keep water visible A filled glass or bottle on your desk, kitchen counter, or nightstand can be a helpful reminder

Medication is prescribed by a licensed provider when clinically appropriate

It is the case of chlorpyrifos (discontinued in 2001, though still in use), diazinon (banned in the US and EU in 2004 and 2007, respectively) and dichlorvos (still in use, except in the EU) [141,142,143,144,145,146,147]

Add an additional 0.5mL bacteriostatic water and allow another 5 minutes