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When you lose weight, your metabolism adjusts downward to conserve energy, and hunger-regulating hormones like ghrelin rebound to defend your new (lower) weight
Diet Stage_Weight Loss
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Regular monitoring and appropriate dose adjustment of levothyroxine to maintain TSH within the reference range (typically 0.4-4.0 mU/L, though individualised targets may apply) is essential before implementing additional weight management interventions
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