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Laboratory findings: Low serum T-4 concentrations, hypercholesterolemia, hypertriglyceridemia, elevated serum creatine kinase, anemia (Normochromic, normocytic).If treatment is stopped it usually takes four weeks for the TSH to rise, but it can be tested earlier if symptoms occur. The onset of symptoms and a rising TSH show an ongoing need for thyroxine and patients can immediately recommence their previous dose.

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