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As per NICE guideline NG28, if you've achieved your target HbA1c and maintained it for an extended period alongside substantial lifestyle changes, your doctor may consider whether dose reduction or medication adjustment is appropriate
10.1146/annurev-biochem-061516-045037 148 TakanoT
You understand your thyroid doesnt produce adequate hormone naturally, so you supplement it pharmaceutically
If it sat in a warm car for several hours or was exposed to temperatures above 30C for any significant period, the medication safety and potency are compromised
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