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Uruska A, Araszkiewicz A, Uruski P, Zozulinska-Ziolkiewicz D (2014) Higher risk of microvascular complications in smokers with type 1 diabetes despite intensive insulin therapy

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Patients often report: Persistent flushing Numbness or tingling in hands/feet Water retention Headaches Lethargy or disrupted sleep Because of its long half-life , these side effects dont wear off quickly , making it harder to adjust dosing

10.1016/S0896-6273(03)00063-1 27 DelahayeF.BretonC.RisoldP

That is one reason thyroid specialists often emphasize follow-up rather than assumptions