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2009 Mar 9;169(5):502-7

clinical trials usually find small but statistically significant reductions

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What good monitoring looks like Routine follow-up with your diabetes doctor Retinal monitoring based on your baseline eye disease severity Faster eye review if symptoms appear or worsen Coordination between endocrinology and ophthalmology if retinopathy is active For some patients, this may mean standard annual follow-up

That magnitude of change typically triggers a need for levothyroxine reassessment