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it is linked to regulation of cortisol and ACTH, potentially normalizing HPA axis function

These pharmacological actions can influence blood pressure, hydration status, and glucose levelsall factors that may contribute to sensations of lightheadedness (feeling faint or unsteady) or dizziness (which may include vertigo, a spinning sensation) in susceptible individuals

However, because Hashimoto's can cause fluctuations in thyroid levels, it is especially important to monitor your TSH and thyroid antibodies while on these medications to ensure your hormone replacement dose remains accurate as your weight and metabolism change

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