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This effect has not been well established in humans, but as a precaution, those taking levothyroxine or other thyroid medicines should seek medical advice before use

However, key impurities, such as Aspartate isomerization to isoAsp or racemization (D-amino acid formation), have the same mass and cannot be distinguished by mass alone

Modern medical techniques are sometimes effective, but they can be costly, and success rates can vary

In this particular case, what you're saying is you could have a telehealth as sort of the, this is where the patient buys the med, but then you still have to deal with that whole supply chain on the back end