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Preventative (Pre-existing GERD Only) Symptom: You have a clinical diagnosis of severe, chronic GERD that existed prior to starting your medication

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Proper timinglevothyroxine on an empty stomach, then a 3060 minute wait before other medicationsreduces this risk significantly

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At our institution, samples with a presumptively positive UDS result are reflexively sent for confirmatory testing (assuming adequate sample volume), but physicians can also directly order confirmatory testing with or without a UDS panel

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Slow titration is the main way to manage this

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Clin Ther 2015

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