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The diagnosis of Hashimotos thyroiditis may be made when you have symptoms of hypothyroidism, and a blood test shows an underactive thyroid gland [an elevated Thyroid Stimulating Hormone (TSH) level with or without a low thyroid hormone (free T4 or total T4) level]

For persistent or concerning symptoms, reduce dose or frequency and observe

[19] [20] In other cases, clinicians might use intermittent dosing schedules

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Expanded Case Studies Inclusion of specific recommendations, such as Vyvanse, in Case Study 1, highlighting a year-long result of 90 pounds lost