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Vocal cord nodules are believed to be a chronic disease that develops over months or years as opposed to an acute response to a short period of vocal overuse, although they may become exacerbated acutely and therefore become noticeable to patients in a seemingly shorter period of time

So again, with this medication type, I recommend getting your thyroid function tests done first thing in the morning before taking your medications, bringing your medications with you, and taking them right after you complete your thyroid tests, to ensure that you get the most accurate lab results

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Bauer, J., Curtin, J

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