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I paid 250 for first month for some reason,

Conversely, if your levothyroxine dose has not been reduced despite significant weight loss, you might be slightly overmedicated

It can be used at any time of day, with or without food, and is usually taken on the same day each week

Using a small footstool or a squatty potty, will elevate your feet to better align the rectum for easier bowel evacuation, reducing the need for straining