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People with autoimmune disorders (especially thyroid disorders such as Hashimoto’s thyroiditis and Grave’s disease) Type 1 diabetes, vitiligo, lupus, Addison’s disease, ulcerative colitis, infertility, acquired agammaglobulinemia, or a family history of these disorders

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Weekly heart rate and blood pressure checks during the first 8–12 weeks of combined therapy allow early detection of any sympathomimetic effects