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This adverse reaction is a type of drug allergy, and it can cause mild to severe symptoms that can include skin rash, hives, and difficulty breathing

In accordance with American Thyroid Association guidelines, monitoring should focus on free T4 and T3 levels at 4-6 week intervals during dose titration, as TSH may remain suppressed for weeks to months despite clinical improvement

Serious but rare risks include pancreatitis and gallbladder disease, which require urgent medical attention