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Open Biology, 9 (8), 190126

In clinical practice, several conditions may contribute to new or worsening breathlessness, including: Autonomic dysfunction such as POTS Babesia co-infection Lyme carditis Immune-mediated respiratory inflammation Asking the Right Questions When evaluating Lyme-related dyspnea, several questions become important: Does the breathlessness occur at rest, with exertion, or while lying down

This means that thyroid function monitoring is recommended when starting or stopping Rybelsus in patients already taking levothyroxine

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