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You can read all about how gluten contributes to thyroid disease in this article

Sources: Irani BG, et al

Some risks to be aware of are: Higher risk of hypoglycemia: Alcohol can make your blood sugar fall too low

If you see no meaningful results after 812 weeks, a clinical review may be needed If you experience severe or persistent side effects that do not improve If there are signs of hormonal or metabolic issues affecting progress If you need guidance on dose adjustment or treatment optimisation A clinician can assess your response, review your routine, and adjust your plan where necessary