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During anesthesia induction, protective airway reflexes are suppressed, creating an opportunity for regurgitation and aspiration into the lungs

The simplest schedule most people can stick to Option A (most common): morning levothyroxine Option B: bedtime levothyroxine (if mornings are chaotic) Some people do better taking levothyroxine at bedtime, as long as its well separated from food (for example, several hours after dinner)

Typical dosing limits are: Regular strength (325 mg each): up to 10 tablets in 24 hours (3,250 mg total) Extra strength (500 mg each): 2 tablets every 4 hours, up to 4,000 mg total per day Exceeding recommended doses increases the risk of overdose and liver damage

Open communication with your care team ensures that missed doses don't derail your long-term results