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Pharmacotherapy

Hypothyroidism—should levothyroxine be taken at bedtime?

Up to one-third of patients treated with levothyroxine for primary hypothyroidism have biochemical evidence of inadequate thyroid hormone replacement. Could treatment effects of levothyoxine be optimized by bedtime administration on an empty stomach? A new study reveals the answer and also sheds light on other possible benefits of this alternative timing.

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Vanderpump, M. Hypothyroidism—should levothyroxine be taken at bedtime?. Nat Rev Endocrinol 7, 195–196 (2011). https://doi.org/10.1038/nrendo.2011.29

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