I usually have a pulsing feeling in my body which distinguishes it from a medication side effect. Adverse drug reactions, on the other hand, can range from mild to severe and can be mistaken for a herx
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They are a sign that your body is adapting to a new metabolic reality, and it needs some support during the transition
However, they concluded this was likely due to "detection bias." Because the medication labels carry warnings about the thyroid, doctors are more likely to examine the thyroid or order ultrasounds for patients starting these drugs