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The mechanisms by which thyroid hormones exert their physiologic actions are not completely understoodbut it is thought that their principal effects are exerted through control of DNA transcription and protein synthesisT 3 and T 4 diffuse into the cell nucleus and bind to thyroid receptor proteins attached to DNAThis hormone nuclear receptor complex activates gene transcription and synthesis of messenger RNA and cytoplasmic proteins.

Side effects The FDA-approved label for Levothroid lists common side effects including headachefatiguenervousnessmoodinessflushed skinmuscle tremors or weaknessfast or irregular heartbeatvomitingdiarrheaabdominal crampsirregular menstrual cycleand impaired fertility.

Exercise caution when administering levothyroxine to patients with nontoxic diffuse goiter or nodular thyroid disease in order to prevent precipitation of thyrotoxicosissee WARNINGSIf the serum TSH is already suppressedlevothyroxine sodium should not be administeredsee CONTRAINDICATIONS

If you take too much levothyroxinecall your local Poison Control Center or seek emergency medical attention right away.

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levothroid comes in caplet forms, which also come in twelve different colors with each color having different strengths and potency.