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Vials should be refrigerated immediately after arrival to maintain quality

Prefer simple, travel-friendly

However, no effect of selenium supplementation on thyroid stimulating hormone, health-related quality of life or thyroid ultrasound was found in levothyroxine substitution-untreated individuals, and sporadic evaluation of clinically relevant outcomes in levothyroxine substitution-treated patients (108.5)

If symptoms are severe, last more than a week, interfere with daily life, or come with other concerning signs like fever, rash, or weight loss, seek medical evaluation

Warning signs that indicate degradation: - Cloudiness or haze: Protein aggregation