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Patients should be educated about symptoms of both hypothyroidism (fatigue, cold intolerance, weight gain, constipation) and hyperthyroidism (anxiety, palpitations, heat intolerance, tremor) to facilitate early detection of thyroid dysfunction

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Diabetologia 63 , 22702281 (2020)

Your healthcare provider can assess whether these symptoms require investigation for underlying causes such as thyroid dysfunction, hormonal imbalances, or other medical conditions that may coincidentally have emerged during your treatment period

image1662868 74.8 KB Obviously that an N of 1 anecdata but I encourage the other people with the same stubborn HbA1C issue to give it a try