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The dose is be administered individually. Follow all recommendations of your doctor, do not exceed the recommended dose. Take it as a single daily dose 0.5-1.0 hour before breakfast with a full glass of water. Intake of Levothroid and the medications known to interfere with its absorption should be separated by at least four hours. Do not stop treatment without permission of your doctor even if you do not feel immediate effect. It may take several weeks till the medication starts to act. Yo may need Levothroid till the end of your life to replace the thyroid hormone deficit. We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. 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