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Weight loss of 10% or more may necessitate levothyroxine dose adjustments, and patients should be educated to recognise symptoms of both hypothyroidism (fatigue, cold intolerance, constipation) and hyperthyroidism (palpitations, anxiety, tremor) that might indicate the need for dose modification

Patients experiencing denials can request expedited reviews if documentation demonstrates acute medical necessity, potentially reducing decision timelines to 24-48 hours

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