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Pohunkova H, Steh J, Vachal J, et al
At each meal, aim to chew your food thoroughlyabout 15-20 times per bite
The UK prescribing information does not list hypothyroidism as a contraindication, though regular thyroid monitoring should continue and levothyroxine doses may need adjustment during weight loss
However, the drug was subsequently overtaken by Pfizers Lipitor (FDA-approved in 1996), which generated ~$100B in sales from 1992 to 2017
Starting with a lower dose can help mitigate these symptoms
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