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Referral to an endocrinologist is recommended for patients who are pregnant or planning pregnancy, pediatric patients, those with nodules or goiter, discordant laboratory results, persistent symptoms despite normal TSH, or suspected myxedema coma (requiring urgent care)

The difference is that you are more likely to have unused solution in the 60 mg vial if you are on a low dose

Some patients use the medication for 6-12 months to reach their goal, then transition to a maintenance dose

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Targets 23 , 555558 (2019)

Characterization of phospholipase C from Pseudomonas aeruginosa as a potent inflammatory agent