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Thyroid patients typically take thyroid hormone replacement drugs, which fall into three categories: Levothyroxine, a synthetic form of the thyroxine (T4) thyroid hormone Liothyronine, a synthetic form of the triiodothyronine (T3) hormone Natural desiccated thyroid (NDT), a natural drug derived from porcine (pig) thyroid, that contains natural forms of both T4 and T3 Paloma patients receiving hormone replacement therapy (HRT) are frequently prescribed bioidentical medications that provide additional estrogen or progesterone for relief of the symptoms of perimenopause and menopause

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In reality, some whitening creams may, in certain cases, contain undisclosed topical steroids or other potent ingredients that can produce rapid lightening effects but may also increase the risk of skin thinning, irritation, sensitivity, breakouts, and other long-term skin concerns

Lancet 370 , 18291839 (2007)