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The tablets should be kept in the original bottle at a temperature of 68F to 77F (20C to 25C), somewhere dry and away from moisture

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Consider referral to an endocrinologist for: Pregnancy planning or current pregnancy Persistently abnormal TSH despite adherence to treatment Presence of thyroid nodules, goiter, or compressive symptoms Rapid changes in thyroid size or function Diagnostic uncertainty or complex thyroid disease Patients with diabetes and pre-existing retinopathy who are starting semaglutide should also coordinate with an ophthalmologist for appropriate monitoring