=== Akismet Anti-Spam === == Archived Changelog Entries == This file contains older changelog entries, so we can keep the size of the standard WordPress readme.txt file reasonable. For the latest changes, please see the "Changelog" section of the [readme.txt file](https://plugins.svn.wordpress.org/akismet/trunk/readme.txt). = 4.1.12 = *Release Date - 3 September 2021* * Fixed "Use of undefined constant" notice. * Improved styling of alert notices. = 4.1.11 = *Release Date - 23 August 2021* * Added support for Akismet API usage notifications on Akismet settings and edit-comments admin pages. * Added support for the deleted_comment action when bulk-deleting comments from Spam. = 4.1.10 = *Release Date - 6 July 2021* * Simplified the code around checking comments in REST API and XML-RPC requests. * Updated Plus plan terminology in notices to match current subscription names. * Added `rel="noopener"` to the widget link to avoid warnings in Google Lighthouse. * Set the Akismet JavaScript as deferred instead of async to improve responsiveness. * Improved the preloading of screenshot popups on the edit comments admin page. = 4.1.9 = *Release Date - 2 March 2021* * Improved handling of pingbacks in XML-RPC multicalls = 4.1.8 = *Release Date - 6 January 2021* * Fixed missing fields in submit-spam and submit-ham calls that could lead to reduced accuracy. * Fixed usage of deprecated jQuery function. = 4.1.7 = *Release Date - 22 October 2020* * Show the "Set up your Akismet account" banner on the comments admin screen, where it's relevant to mention if Akismet hasn't been configured. * Don't use wp_blacklist_check when the new wp_check_comment_disallowed_list function is available. = 4.1.6 = *Release Date - 4 June 2020* * Disable "Check for Spam" button until the page is loaded to avoid errors with clicking through to queue recheck endpoint directly. * Added filter "akismet_enable_mshots" to allow disabling screenshot popups on the edit comments admin page. = 4.1.5 = *Release Date - 29 April 2020* * Based on user feedback, we have dropped the in-admin notice explaining the availability of the "privacy notice" option in the AKismet settings screen. The option itself is available, but after displaying the notice for the last 2 years, it is now considered a known fact. * Updated the "Requires at least" to WP 4.6, based on recommendations from https://wp-info.org/tools/checkplugini18n.php?slug=akismet * Moved older changelog entries to a separate file to keep the size of this readme reasonable, also based on recommendations from https://wp-info.org/tools/checkplugini18n.php?slug=akismet = 4.1.4 = *Release Date - 17 March 2020* * Only redirect to the Akismet setup screen upon plugin activation if the plugin was activated manually from within the plugin-related screens, to help users with non-standard install workflows, like WP-CLI. * Update the layout of the initial setup screen to be more readable on small screens. * If no API key has been entered, don't run code that expects an API key. * Improve the readability of the comment history entries. * Don't modify the comment form HTML if no API key has been set. = 4.1.3 = *Release Date - 31 October 2019* * Prevented an attacker from being able to cause a user to unknowingly recheck their Pending comments for spam. * Improved compatibility with Jetpack 7.7+. * Updated the plugin activation page to use consistent language and markup. * Redirecting users to the Akismet connnection/settings screen upon plugin activation, in an effort to make it easier for people to get setup. = 4.1.2 = *Release Date - 14 May 2019* * Fixed a conflict between the Akismet setup banner and other plugin notices. * Reduced the number of API requests made by the plugin when attempting to verify the API key. * Include additional data in the pingback pre-check API request to help make the stats more accurate. * Fixed a bug that was enabling the "Check for Spam" button when no comments were eligible to be checked. * Improved Akismet's AMP compatibility. = 4.1.1 = *Release Date - 31 January 2019* * Fixed the "Setup Akismet" notice so it resizes responsively. * Only highlight the "Save Changes" button in the Akismet config when changes have been made. * The count of comments in your spam queue shown on the dashboard show now always be up-to-date. = 4.1 = *Release Date - 12 November 2018* * Added a WP-CLI method for retrieving stats. * Hooked into the new "Personal Data Eraser" functionality from WordPress 4.9.6. * Added functionality to clear outdated alerts from Akismet.com. = 4.0.8 = *Release Date - 19 June 2018* * Improved the grammar and consistency of the in-admin privacy related notes (notice and config). * Revised in-admin explanation of the comment form privacy notice to make its usage clearer. * Added `rel="nofollow noopener"` to the comment form privacy notice to improve SEO and security. = 4.0.7 = *Release Date - 28 May 2018* * Based on user feedback, the link on "Learn how your comment data is processed." in the optional privacy notice now has a `target` of `_blank` and opens in a new tab/window. * Updated the in-admin privacy notice to use the term "comment" instead of "contact" in "Akismet can display a notice to your users under your comment forms." * Only show in-admin privacy notice if Akismet has an API Key configured = 4.0.6 = *Release Date - 26 May 2018* * Moved away from using `empty( get_option() )` to instantiating a variable to be compatible with older versions of PHP (5.3, 5.4, etc). = 4.0.5 = *Release Date - 26 May 2018* * Corrected version number after tagging. Sorry... = 4.0.4 = *Release Date - 26 May 2018* * Added a hook to provide Akismet-specific privacy information for a site's privacy policy. * Added tools to control the display of a privacy related notice under comment forms. * Fixed HTML in activation failure message to close META and HEAD tag properly. * Fixed a bug that would sometimes prevent Akismet from being correctly auto-configured. = 4.0.3 = *Release Date - 19 February 2018* * Added a scheduled task to remove entries in wp_commentmeta that no longer have corresponding comments in wp_comments. * Added a new `akismet_batch_delete_count` action to the batch delete methods for people who'd like to keep track of the numbers of records being processed by those methods. = 4.0.2 = *Release Date - 18 December 2017* * Fixed a bug that could cause Akismet to recheck a comment that has already been manually approved or marked as spam. * Fixed a bug that could cause Akismet to claim that some comments are still waiting to be checked when no comments are waiting to be checked. = 4.0.1 = *Release Date - 6 November 2017* * Fixed a bug that could prevent some users from connecting Akismet via their Jetpack connection. * Ensured that any pending Akismet-related events are unscheduled if the plugin is deactivated. * Allow some JavaScript to be run asynchronously to avoid affecting page render speeds. = 4.0 = *Release Date - 19 September 2017* * Added REST API endpoints for configuring Akismet and retrieving stats. * Increased the minimum supported WordPress version to 4.0. * Added compatibility with comments submitted via the REST API. * Improved the progress indicator on the "Check for Spam" button. = 3.3.4 = *Release Date - 3 August 2017* * Disabled Akismet's debug log output by default unless AKISMET_DEBUG is defined. * URL previews now begin preloading when the mouse moves near them in the comments section of wp-admin. * When a comment is caught by the Comment Blacklist, Akismet will always allow it to stay in the trash even if it is spam as well. * Fixed a bug that was preventing an error from being shown when a site can't reach Akismet's servers. = 3.3.3 = *Release Date - 13 July 2017* * Reduced amount of bandwidth used by the URL Preview feature. * Improved the admin UI when the API key is manually pre-defined for the site. * Removed a workaround for WordPress installations older than 3.3 that will improve Akismet's compatibility with other plugins. * The number of spam blocked that is displayed on the WordPress dashboard will now be more accurate and updated more frequently. * Fixed a bug in the Akismet widget that could cause PHP warnings. = 3.3.2 = *Release Date - 10 May 2017* * Fixed a bug causing JavaScript errors in some browsers. = 3.3.1 = *Release Date - 2 May 2017* * Improve performance by only requesting the akismet_comment_nonce option when absolutely necessary. * Fixed two bugs that could cause PHP warnings. * Fixed a bug that was preventing the "Remove author URL" feature from working after a comment was edited using "Quick Edit." * Fixed a bug that was preventing the URL preview feature from working after a comment was edited using "Quick Edit." = 3.3 = *Release Date - 23 February 2017* * Updated the Akismet admin pages with a new clean design. * Fixed bugs preventing the `akismet_add_comment_nonce` and `akismet_update_alert` wrapper functions from working properly. * Fixed bug preventing the loading indicator from appearing when re-checking all comments for spam. * Added a progress indicator to the "Check for Spam" button. * Added a success message after manually rechecking the Pending queue for spam. = 3.2 = *Release Date - 6 September 2016* * Added a WP-CLI module. You can now check comments and recheck the moderation queue from the command line. * Stopped using the deprecated jQuery function `.live()`. * Fixed a bug in `remove_comment_author_url()` and `add_comment_author_url()` that could generate PHP notices. * Fixed a bug that could cause an infinite loop for sites with very very very large comment IDs. * Fixed a bug that could cause the Akismet widget title to be blank. = 3.1.11 = *Release Date - 12 May 2016* * Fixed a bug that could cause the "Check for Spam" button to skip some comments. * Fixed a bug that could prevent some spam submissions from being sent to Akismet. * Updated all links to use https:// when possible. * Disabled Akismet debug logging unless WP_DEBUG and WP_DEBUG_LOG are both enabled. = 3.1.10 = *Release Date - 1 April 2016* * Fixed a bug that could cause comments caught as spam to be placed in the Pending queue. * Fixed a bug that could have resulted in comments that were caught by the core WordPress comment blacklist not to have a corresponding History entry. * Fixed a bug that could have caused avoidable PHP warnings in the error log. = 3.1.9 = *Release Date - 28 March 2016* * Add compatibility with Jetpack so that Jetpack can automatically configure Akismet settings when appropriate. * Fixed a bug preventing some comment data from being sent to Akismet. = 3.1.8 = *Release Date - 4 March 2016* * Fixed a bug preventing Akismet from being used with some plugins that rewrite admin URLs. * Reduced the amount of bandwidth used on Akismet API calls * Reduced the amount of space Akismet uses in the database * Fixed a bug that could cause comments caught as spam to be placed in the Pending queue. = 3.1.7 = *Release Date - 4 January 2016* * Added documentation for the 'akismet_comment_nonce' filter. * The post-install activation button is now accessible to screen readers and keyboard-only users. * Fixed a bug that was preventing the "Remove author URL" feature from working in WordPress 4.4 = 3.1.6 = *Release Date - 14 December 2015* * Improve the notices shown after activating Akismet. * Update some strings to allow for the proper plural forms in all languages. = 3.1.5 = *Release Date - 13 October 2015* * Closes a potential XSS vulnerability. = 3.1.4 = *Release Date - 24 September 2015* * Fixed a bug that was preventing some users from automatically connecting using Jetpack if they didn't have a current Akismet subscription. * Fixed a bug that could cause comments caught as spam to be placed in the Pending queue. * Error messages and instructions have been simplified to be more understandable. * Link previews are enabled for all links inside comments, not just the author's website link. = 3.1.3 = *Release Date - 6 July 2015* * Notify users when their account status changes after previously being successfully set up. This should help any users who are seeing blank Akismet settings screens. = 3.1.2 = *Release Date - 7 June 2015* * Reduced the amount of space Akismet uses in the commentmeta table. * Fixed a bug where some comments with quotes in the author name weren't getting history entries * Pre-emptive security improvements to ensure that the Akismet plugin can't be used by attackers to compromise a WordPress installation. * Better UI for the key entry field: allow whitespace to be included at the beginning or end of the key and strip it out automatically when the form is submitted. * When deactivating the plugin, notify the Akismet API so the site can be marked as inactive. * Clearer error messages. = 3.1.1 = *Release Date - 17th March, 2015* * Improvements to the "Remove comment author URL" JavaScript * Include the pingback pre-check from the 2.6 branch. = 3.1 = *Release Date - 11th March, 2015* * Use HTTPS by default for all requests to Akismet. * Fix for a situation where Akismet might strip HTML from a comment. = 3.0.4 = *Release Date - 11th December, 2014* * Fix to make .htaccess compatible with Apache 2.4. * Fix to allow removal of https author URLs. * Fix to avoid stripping part of the author URL when removing and re-adding. * Removed the "Check for Spam" button from the "Trash" and "Approved" queues, where it would have no effect. * Allow automatic API key configuration when Jetpack is installed and connected to a WordPress.com account = 3.0.3 = *Release Date - 3rd November, 2014* * Fix for sending the wrong data to delete_comment action that could have prevented old spam comments from being deleted. * Added a filter to disable logging of Akismet debugging information. * Added a filter for the maximum comment age when deleting old spam comments. * Added a filter for the number per batch when deleting old spam comments. * Removed the "Check for Spam" button from the Spam folder. = 3.0.2 = *Release Date - 18th August, 2014* * Performance improvements. * Fixed a bug that could truncate the comment data being sent to Akismet for checking. = 3.0.1 = *Release Date - 9th July, 2014* * Removed dependency on PHP's fsockopen function * Fix spam/ham reports to work when reported outside of the WP dashboard, e.g., from Notifications or the WP app * Remove jQuery dependency for comment form JavaScript * Remove unnecessary data from some Akismet comment meta * Suspended keys will now result in all comments being put in moderation, not spam. = 3.0.0 = *Release Date - 15th April, 2014* * Move Akismet to Settings menu * Drop Akismet Stats menu * Add stats snapshot to Akismet settings * Add Akismet subscription details and status to Akismet settings * Add contextual help for each page * Improve Akismet setup to use Jetpack to automate plugin setup * Fix "Check for Spam" to use AJAX to avoid page timing out * Fix Akismet settings page to be responsive * Drop legacy code * Tidy up CSS and Javascript * Replace the old discard setting with a new "discard pervasive spam" feature. = 2.6.0 = *Release Date - 18th March, 2014* * Add ajax paging to the check for spam button to handle large volumes of comments * Optimize javascript and add localization support * Fix bug in link to spam comments from right now dashboard widget * Fix bug with deleting old comments to avoid timeouts dealing with large volumes of comments * Include X-Pingback-Forwarded-For header in outbound WordPress pingback verifications * Add pre-check for pingbacks, to stop spam before an outbound verification request is made = 2.5.9 = *Release Date - 1st August, 2013* * Update 'Already have a key' link to redirect page rather than depend on javascript * Fix some non-translatable strings to be translatable * Update Activation banner in plugins page to redirect user to Akismet config page = 2.5.8 = *Release Date - 20th January, 2013* * Simplify the activation process for new users * Remove the reporter_ip parameter * Minor preventative security improvements = 2.5.7 = *Release Date - 13th December, 2012* * FireFox Stats iframe preview bug * Fix mshots preview when using https * Add .htaccess to block direct access to files * Prevent some PHP notices * Fix Check For Spam return location when referrer is empty * Fix Settings links for network admins * Fix prepare() warnings in WP 3.5 = 2.5.6 = *Release Date - 26th April, 2012* * Prevent retry scheduling problems on sites where wp_cron is misbehaving * Preload mshot previews * Modernize the widget code * Fix a bug where comments were not held for moderation during an error condition * Improve the UX and display when comments are temporarily held due to an error * Make the Check For Spam button force a retry when comments are held due to an error * Handle errors caused by an invalid key * Don't retry comments that are too old * Improve error messages when verifying an API key = 2.5.5 = *Release Date - 11th January, 2012* * Add nonce check for comment author URL remove action * Fix the settings link = 2.5.4 = *Release Date - 5th January, 2012* * Limit Akismet CSS and Javascript loading in wp-admin to just the pages that need it * Added author URL quick removal functionality * Added mShot preview on Author URL hover * Added empty index.php to prevent directory listing * Move wp-admin menu items under Jetpack, if it is installed * Purge old Akismet comment meta data, default of 15 days = 2.5.3 = *Release Date - 8th Febuary, 2011* * Specify the license is GPL v2 or later * Fix a bug that could result in orphaned commentmeta entries * Include hotfix for WordPress 3.0.5 filter issue = 2.5.2 = *Release Date - 14th January, 2011* * Properly format the comment count for author counts * Look for super admins on multisite installs when looking up user roles * Increase the HTTP request timeout * Removed padding for author approved count * Fix typo in function name * Set Akismet stats iframe height to fixed 2500px. Better to have one tall scroll bar than two side by side. = 2.5.1 = *Release Date - 17th December, 2010* * Fix a bug that caused the "Auto delete" option to fail to discard comments correctly * Remove the comment nonce form field from the 'Akismet Configuration' page in favor of using a filter, akismet_comment_nonce * Fixed padding bug in "author" column of posts screen * Added margin-top to "cleared by ..." badges on dashboard * Fix possible error when calling akismet_cron_recheck() * Fix more PHP warnings * Clean up XHTML warnings for comment nonce * Fix for possible condition where scheduled comment re-checks could get stuck * Clean up the comment meta details after deleting a comment * Only show the status badge if the comment status has been changed by someone/something other than Akismet * Show a 'History' link in the row-actions * Translation fixes * Reduced font-size on author name * Moved "flagged by..." notification to top right corner of comment container and removed heavy styling * Hid "flagged by..." notification while on dashboard = 2.5.0 = *Release Date - 7th December, 2010* * Track comment actions under 'Akismet Status' on the edit comment screen * Fix a few remaining deprecated function calls ( props Mike Glendinning ) * Use HTTPS for the stats IFRAME when wp-admin is using HTTPS * Use the WordPress HTTP class if available * Move the admin UI code to a separate file, only loaded when needed * Add cron retry feature, to replace the old connectivity check * Display Akismet status badge beside each comment * Record history for each comment, and display it on the edit page * Record the complete comment as originally submitted in comment_meta, to use when reporting spam and ham * Highlight links in comment content * New option, "Show the number of comments you've approved beside each comment author." * New option, "Use a nonce on the comment form." = 2.4.0 = *Release Date - 23rd August, 2010* * Spell out that the license is GPLv2 * Fix PHP warnings * Fix WordPress deprecated function calls * Fire the delete_comment action when deleting comments * Move code specific for older WP versions to legacy.php * General code clean up = 2.3.0 = *Release Date - 5th June, 2010* * Fix "Are you sure" nonce message on config screen in WPMU * Fix XHTML compliance issue in sidebar widget * Change author link; remove some old references to WordPress.com accounts * Localize the widget title (core ticket #13879) = 2.2.9 = *Release Date - 2nd June, 2010* * Eliminate a potential conflict with some plugins that may cause spurious reports = 2.2.8 = *Release Date - 27th May, 2010* * Fix bug in initial comment check for ipv6 addresses * Report comments as ham when they are moved from spam to moderation * Report comments as ham when clicking undo after spam * Use transition_comment_status action when available instead of older actions for spam/ham submissions * Better diagnostic messages when PHP network functions are unavailable * Better handling of comments by logged-in users = 2.2.7 = *Release Date - 17th December, 2009* * Add a new AKISMET_VERSION constant * Reduce the possibility of over-counting spam when another spam filter plugin is in use * Disable the connectivity check when the API key is hard-coded for WPMU = 2.2.6 = *Release Date - 20th July, 2009* * Fix a global warning introduced in 2.2.5 * Add changelog and additional readme.txt tags * Fix an array conversion warning in some versions of PHP * Support a new WPCOM_API_KEY constant for easier use with WordPress MU = 2.2.5 = *Release Date - 13th July, 2009* * Include a new Server Connectivity diagnostic check, to detect problems caused by firewalls = 2.2.4 = *Release Date - 3rd June, 2009* * Fixed a key problem affecting the stats feature in WordPress MU * Provide additional blog information in Akismet API calls /*! elementor-pro - v3.6.4 - 15-03-2022 */ (()=>{var 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Effects, Uses, Dosage, Interactions, Warnings – Educa PNLD

Synthroid Levothyroxine Sodium: Side Effects, Uses, Dosage, Interactions, Warnings

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Synthroid Levothyroxine Sodium: Side Effects, Uses, Dosage, Interactions, Warnings

Some people might use their levothyroxine prescriptions for this reason, but it’s important to know that the use of levothyroxine for weight loss can result in dangerous and potentially life-threatening side effects. Thyroid hormones can also be present illicitly in some over-the-counter weight loss products. These dietary supplements can contain varying amounts of thyroid hormones, which can be dangerous and cause adverse effects. Because of this, people should not take over-the-counter weight loss supplements. Published studies report that levothyroxine is present in human milk following the administration of oral levothyroxine.

  • Because thyroid function can fluctuate during pregnancy, a doctor might need to adjust the dosage of levothyroxine taken during pregnancy.
  • We present the case of one such patient who presented with an acute confusional state due to Hashimoto’s encephalopathy.
  • The thyroid is a major gland in the body that is involved in important functions such as metabolism, growth, development, and regulation of body temperature.
  • Both hypothyroidism and hyperthyroidism can also cause cognitive problems that can mimic symptoms of mild dementia.

Impact of nonstandard thyroid hormone therapy on mood and cognition

No adverse effects on the breastfed infant have been reported and there is no information on the effects of levothyroxine on milk production. Adequate levothyroxine treatment during lactation may normalize milk production in hypothyroid lactating mothers with low milk supply. The developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for SYNTHROID and any potential adverse effects on the breastfed infant from SYNTHROID or from the underlying maternal condition.

  • Thyroid hormones, including levothyroxine, should not be used either alone or with other therapeutic agents for the treatment of obesity or weight loss.
  • Published studies report that levothyroxine is present in human milk following the administration of oral levothyroxine.
  • By Esther Heerema, MSWEsther Heerema, MSW, shares practical tips gained from working with hundreds of people whose lives are touched by Alzheimer’s disease and other kinds of dementia.
  • Do not store the crushed tablet/water mixture and do not administer it mixed with foods that decrease absorption of levothyroxine, such as soybean-based infant formula.
  • Pseudotumor cerebri and slipped capital femoral epiphysis have been reported in pediatric patients receiving levothyroxine therapy.

Levothyroxine interactions: What foods and medications should be avoided while taking levothyroxine?

Animal and human studies provide evidence that specific cognitive domains dependent on the hippocampus and/or frontal lobes are affected, including attention, memory, processing speed, and executive function (17). This has been found in studies assessing patient-reported symptoms (18) and those using objective test measures assessing mean level performance as well as variability (19–23). This study represents a laudable endeavor to characterize brain fog in people with hypothyroidism. Limitations include the survey instrument was not validated, it was not known whether symptoms were related to underlying hypothyroidism or other medical or psychiatric comorbidities, and lack of information on thyroid hormone levels. Therapy for overt hypothyroidism is always indicated, and symptoms of mood or cognitive deficits improve (although perhaps not completely resolve) with therapy.

Nonspecific electroencephalographic (EEG) abnormalities are seen in 90 to 98 percent of patients with the most common finding being nonspecific slowing of background activity 9. Again, in the case of our index patient, no diagnostic abnormalities synthroid ashwagandha were found. Magnetic resonance imaging in patients with Hashimoto’s encephalopathy is usually normal.

Do not store the crushed tablet/water mixture and do not administer it mixed with foods that decrease absorption of levothyroxine, such as soybean-based infant formula. With your support we can help people to live better with thyroid disease. Some side effects of levothyroxine may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. This section will review information on associations between overt hypothyroidism, mood, and cognition.

What Is Known About Hypothyroid-Associated Brain Fog

Synthroid is a thyroid medicine that replaces a hormone normally produced by your thyroid gland to regulate the body’s energy and metabolism. Over and underactivity of the thyroid may put a strain on personal relationships. Once the conditions have been stabilised and treated, your emotional state and relationships are likely to improve. Along with its needed effects, levothyroxine (the active ingredient contained in Synthroid) may cause some unwanted effects.

BACKGROUNDHypothyroidism is common and is diagnosed with increased TSH and low FT4 levels. Common symptoms of hypothyroidism include feeling tired, cold, and sluggish along with weight gain, dry skin and constipation. These symptoms often resolve on thyroid hormone replacement therapy and return of the FT4 and TSH back to the normal range. Brain fog in survivors of cancer has been most studied in breast cancer, where it is commonly reported as “chemobrain” or “chemofog” by patients during or following chemotherapy (8).

4 Acute Adrenal Crisis in Patients with Concomitant Adrenal Insufficiency

In addition, many drugs and foods affect T4 absorption see DRUG INTERACTIONS. Assess compliance, dose of medication administered, and method of administration prior to increasing the dose of SYNTHROID see WARNINGS AND PRECAUTIONS and Use In Specific Populations. Use the serum free-T4 level to titrate SYNTHROID dosing until the patient is clinically euthyroid and the serum free-T4 level is restored to the upper half of the normal range see Recommended Dosage And Titration. However stress can aggravate symptoms that are caused by a thyroid condition and make them much worse and take longer to settle. It is understandable and not unusual to have an emotional reaction before, during, or after treatment.

However, you may not be able to take this medicine if you have certain medical conditions. Atypical symptoms that raise the question of alternate etiologies or structural neurological disorders should be evaluated as potential separate diagnoses. If symptoms are more severe, appear progressive, or are interfering with activities of daily living, referral to a neuropsychologist is an underutilized approach that should be considered. Highlighting this issue, there is a remarkable quote from a hypothyroid patient during the recent joint thyroid association conference (16). Improved patient education could address these expectations and motivate patients to engage in other interventions that could improve their symptoms, as summarized in the next section. The term brain fog is broadly used to describe what individuals experience when their cognitive functioning is not as sharp as usual, but there is no standard definition nor diagnostic criteria.

For adult patients with primary hypothyroidism, titrate until the patient is clinically euthyroid and the serum TSH returns to normal see Recommended Dosage And Titration. SYNTHROID is indicated in adult and pediatric patients, including neonates, as an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid cancer. SYNTHROID is indicated in adult and pediatric patients, including neonates, as a replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism.

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