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"In the US, all nasal sprays or inhalation solutions are classified as drugs, which means they need to go through a New Drug Application process in order to legally be able to sell in the U.S.," says Koestline, who notes that dihydroxy methylchromonyl palmitate has not been approved for inhalation

Practical solution: Take levothyroxine first thing in the morning

The additional dose tiers allow more precise titration based on individual response and tolerability

And at higher doses , the math scales linearly