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Most Common Side Effects: Nausea (especially in the first few weeks) Vomiting or feeling like you might vomit Diarrhea or loose stools Stomach pain or discomfort Constipation Fatigue or tiredness Managing Side Effects: Start with smaller meals and eat slowly Avoid fatty, greasy, or spicy foods initially Stay hydrated throughout the day Take the medication at the same time each week Contact your provider if side effects persist or worsen Serious Side Effects (Rare but Important): Contact your healthcare provider immediately if you experience: Severe stomach pain that doesnt go away Signs of pancreatitis (pain that radiates to your back) Unusual lumps or swelling in your neck Persistent vomiting that prevents keeping fluids down Most people find that side effects decrease significantly after the first month of treatment

Anti-thyroid peroxidase (anti-TPO) and anti-thyroglobulin (anti-Tg) antibodies are common in Hashimotos thyroiditis

Supporting clinical information and a copy of the member's current medical records must be submitted with all PA requests for Cayston for CAT