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Failure of the serum t 4 to increase into the upper half of the normal range within 2 weeks of initiation of levothroid levothyroxine sodium therapy and or of the serum tsh to decrease below 20mu l within 4 weeks should alert the physician to the possibility that the child is not receiving adequate therapy.

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Levothyroxine is not expected to harm an unborn babyIf you become pregnant while taking levothyroxinedo not stop taking the medicine without your doctor’s adviceHaving low thyroid hormone levels during pregnancy could harm both mother and babyYour dose needs may be different during pregnancy.

Levothyroxine works best if you take it on an empty stomachat least 30 minutes before breakfastFollow your doctor’s dosing instructions and try to take the medicine at the same time each day.

Get emergency medical help if you have signs of an allergic reactionhivesdifficult breathingswelling of your facelipstongueor throat.

Notify your doctor or dentist that you are taking this medicine prior to any surgery.

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