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Patients should be instructed to seek immediate medical attention for red-flag symptoms including intractable vomiting, severe dehydration, acute abdominal pain, gastrointestinal bleeding, or recurrent hypoglycemia, which may indicate surgical complications requiring urgent evaluation by the bariatric surgery team

The simplest schedule most people can stick to Option A (most common): morning levothyroxine Option B: bedtime levothyroxine (if mornings are chaotic) Some people do better taking levothyroxine at bedtime, as long as its well separated from food (for example, several hours after dinner)