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Provider Licensing Requirements Core Rule: Providers must be licensed in the state where the patient is located

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Specifically, in diabetes, elevated glucose levels increase ROS production via the PI3K/AKT signaling pathway, aggravating oxidative stress in the ocular surface, damaging the epithelium cells, and affecting tear film stability, thereby leading to DED (Lu et al., 2018

The article suggests your endocrinologist or primary care provider then review whether the steroid is necessary, whether a lower dose or shorter duration would suffice, and whether an alternative anti-inflammatory agent could reduce interaction risk

StatPearls notes that high-dose oral B has been shown effective for maintenance, but recommendations are to always use the parenteral route in severe neurological manifestations

doi: 10.1007/s12020-018-1574-8 Summary Keywords hypothyroidism, levothyroxine, malabsorption, Helicobacter pylori , proton pump inhibitors, gastritis, liquid levothyroxine, softgel levothyroxine Citation Virili C, Brusca N, Capriello S and Centanni M (2021) Levothyroxine Therapy in Gastric Malabsorptive Disorders