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Current management strategies emphasize dietary modifications, including reducing carbohydrate intake, avoiding high-glycemic index foods, incorporating healthy fats and adequate protein, refraining from alcohol and liquids during meals, and optimizing meal timing

Medication Timing to Maximize Levothyroxine Absorption PlexusDx recommends taking levothyroxine first thing in the morning on an empty stomach, waiting 30 to 60 minutes before eating or taking other oral medications

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in International Textbook of Diabetes Mellitus 4th edn Ch 47 (eds DeFronzo, R.A., Ferrannini, E, Alberti, KG, Zimmet, P) (John Wiley & Sons Ltd., 2015)

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