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It is important to understand the safety information and warnings associated with this medication. Make sure to review the following points carefully and discuss any concerns with your healthcare provider:

• Not for Weight Loss: This medication should not be used as a method for weight loss. Standard doses are ineffective for this purpose, and taking larger doses can lead to severe, potentially fatal side effects, particularly when combined with diet pills or other weight-loss medications.

• Heart Problems: Excessive doses of this medication can cause heart-related issues, particularly in older adults or individuals with existing heart conditions. If you experience symptoms such as a rapid or irregular heartbeat, chest pain, or difficulty breathing, seek medical attention immediately. Your healthcare provider may need to adjust your dosage or discontinue the medication.

• Adrenal Insufficiency (Adrenal Crisis): In rare cases, individuals with low thyroid and adrenal hormone levels may experience an adrenal crisis. If you have conditions like Addison's disease, inform your healthcare provider so that adrenal hormone levels can be addressed before starting thyroid treatment. Symptoms such as persistent fatigue, abdominal pain, dizziness, weakness, or vomiting require immediate medical attention.

• Worsening Diabetes: This medication can elevate blood sugar levels, particularly when starting treatment or increasing the dosage. If you have diabetes, your healthcare provider might need to adjust your diabetes medications. Monitor your blood sugar levels as instructed and consult your provider if levels rise unexpectedly.

• Effects on Bones: Long-term use, especially at high doses, can weaken bones, posing a greater risk to postmenopausal females. To minimize this risk, your healthcare provider will monitor your thyroid levels to ensure the lowest effective dose is used. Engage in regular exercise, maintain a bone-healthy diet, and limit alcohol consumption to help protect bone health.

• Contraindications: This medication should not be used in cases of uncorrected adrenal insufficiency as it may lead to serious health risks. Consult your healthcare provider if this condition applies to you.

In case of an overdose or severe reactions, contact emergency services immediately. Always use medications as prescribed and consult your healthcare provider for any concerns about their use.

When taking this medication, you may experience some side effects, which vary in severity. Common side effects include irregular heartbeat, chest pain, shortness of breath, leg cramps, headaches, nervousness, skin rash, irritability, trouble sleeping, tremors, muscle weakness, changes in appetite, weight loss, vomiting, diarrhea, excessive sweating, sensitivity to heat, fever, and menstrual changes. While these are generally mild, consult your healthcare provider if they persist or worsen.

Other side effects reported by some users include tiredness, anxiety, muscle spasms, fast heart rate, stomach cramps, hair loss, flushing, and rash. These effects should be discussed with your healthcare provider if they become bothersome.

Serious side effects, though rare, require immediate medical attention. These include symptoms of heart failure such as difficulty breathing, weakness, tiredness, and swelling in the hands, ankles, or feet. Signs of a heart attack, such as dizziness, lightheadedness, anxiety, trouble breathing, rapid heartbeat, nausea, cold sweat, clammy skin, and chest pain or tightness, also necessitate urgent care.

A very serious allergic reaction is rare but needs prompt medical intervention if symptoms like rash, itching/swelling (especially of the face, tongue, or throat), severe dizziness, or trouble breathing occur. Always consult a healthcare professional for any effects that concern you.