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    Hi Bobbi – There’s actually one specific liver function measure that the guidance from the ATA and AACE notes is not as much of a concern if thyroid hormone levels are dropping and other liver function tests are normalizing: “In patients with improving thyrotoxicosis, a rising alkaline phosphatase with normalization of other liver function does not indicate worsening hepatic toxicity.”

    Potential liver issues, of course, should never be taken lightly…so that’s why I suggested that kararoot take the ATA/AACE guidance to a doctor for further discussion.