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Your provider should monitor TSH and free T4 levels to adjust levothyroxine dose accordingly, preventing both hypothyroid and iatrogenic hyperthyroid states

In two fish species collected from the same region of the Kali river, India, the concentration of Cd in the muscle during summer months was 22.40 g/g in Puntius ticto whereas in Heteropneustis fossilis , muscle Cd concentration was more than double (45.4 g/g) In Mastacembelus armatus obtained from, the Cu concentration in the muscle was 41.3 g/g and 271.6 g/g in the liver indicating the differential deposition of heavy metals in the tissues of the same animal (Javed and Usmani, 2013)