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Using the correct volume of bacteriostatic water determines the concentration of the final solution, which directly affects dosing accuracy

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If vomiting occurs, oral rehydration solutions containing electrolytes may be preferable to plain water

You should be advised to: Report any new neck swelling or changes in voice Monitor for symptoms of thyroid dysfunction (either hypo- or hyperthyroidism) Maintain consistent timing of levothyroxine administration Keep a record of weight changes Report severe or persistent gastrointestinal symptoms Stay well-hydrated, especially if experiencing nausea, vomiting or diarrhoea Medication adherence to both levothyroxine and GLP-1 therapy is essential for optimal outcomes