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In addition, intranasal administration offers the potential advantages of a more rapid onset of action and avoidance of first-pass metabolism [28]
What is the appropriate evaluation and management for a 45-year-old woman with Hashimoto's thyroiditis, two thyroid nodules, throat pain after consuming legumes or protein, premenstrual constipation, fatigue, anemia with low ferritin, eosinophilia, and who is currently taking levothyroxine 25 g, a multivitamin (UdLite), a protonpump inhibitor (Rablet 10 mg), vitamin D, and monthly vitamin B12 injections?
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