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When present, side effects are typically mild and transient, potentially including slight drowsiness if administered too early (easily resolved by timing adjustment), mild headaches during initial adaptation in some individuals (usually resolving within days), temporary vivid dreams as sleep architecture normalizes, or rare reports of mild dizziness upon waking in sensitive individuals

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Oral levothyroxine is notoriously difficult to absorb, and factors like food, coffee, supplements, and gut issues can all reduce how much medication actually gets into your system

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