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When switching medications due to availability issues, the NHS recommends: Prioritising clinical need patients with the greatest clinical benefit should be prioritised Shared decision-making discussing the reasons for switching, potential benefits, and risks with patients Appropriate monitoring ensuring adequate follow-up after any medication change Patient Safety Advice: The Medicines and Healthcare products Regulatory Agency (MHRA) has issued safety information regarding these medications

For long-term storage of the powder vials, keep at 20C or below

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It was later established that one of the key reasons for this effect was increased GLP-1 secretion [1]

Common levothyroxine drug interactions include antacids, proton pump inhibitors, bile acid sequestrants, estrogen therapies, and anticonvulsants, plus everyday supplements like calcium and iron

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