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The effort is being overseen by a little-known office within the department known as the Bureau of Democracy, Human Rights, and Labor (DRL) that was historically involved in promoting democracy in places such as Cuba, Iran, and Russia

J Ped Neurol 2012

Its table lists this as a reason baseline TSH should be stable on the current levothyroxine dose before anything new is introduced, and it calls for closer thyroid monitoring during any change