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Lets walk through the chain of events in this graphic to help you understand whats really going on with Hashimotos

Starting at the lowest dose and titrating slowly significantly reduces GI side effects

The most common adverse reaction to allopurinol is an increase in gout attacks early in therapy

One of the biggest challenges of addiction medicine is that patients often dont want to take the treatments that are available because they have negative side effects or may continue a dependency. GLP-1s have side effects, too

Remove the syringe, draw air equal to your dose volume, reinsert, inject the air, and try drawing again

Goud A, Zhong J, Peters M, Brook RD, Rajagopalan S