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These hematological confounders reinforce the need to incorporate alternative glycaemic markers and continuous glucose monitoring metrics when assessing glycaemic control in PDM

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Patients should be advised to maintain consistent timing of levothyroxine administration and to report any symptoms suggestive of thyroid dysfunction, such as palpitations, tremor, anxiety (suggesting hyperthyroidism), or worsening fatigue and weight gain (suggesting hypothyroidism)