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Just aim for: Walking 30 minutes daily Strength training 2x per week 4

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Most palpitations are benign sinus tachycardia or occasional premature atrial contractions caused by vagal modulation and electrolyte shifts, not structural cardiac abnormalities

Referral to an endocrinologist is recommended for patients who are pregnant or planning pregnancy, pediatric patients, those with nodules or goiter, discordant laboratory results, persistent symptoms despite normal TSH, or suspected myxedema coma (requiring urgent care)

Some patients use the medication for 6-12 months to reach their goal, then transition to a maintenance dose