These often subside with continued use or dose adjustment (starting at 500 mg twice daily with food can improve GI tolerance, then uptitrating to three times daily) (Li et al., 2023)
Furthermore, certain herbal formulations can improve vascular endothelial function
Arteriosclerosis, Thrombosis, and Vascular Biology , 15 , 678682
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Therefore we treat subclinical hypothyroidism with normal FT4 level in obese subjects, especially young people/women in reproductive age, in cases of AITD, after radioiodine therapy (RAI), after thyroidectomy, after thyroid inflammation (subacute thyroiditis (SAT), postpartum thyroiditis), at increased risk of cardiovascular disease (arterial hypertension, heart failure, supraventricular and ventricular arrhythmia) [95]
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