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This shift is what many people refer to as the "whitening" or "brightening" effect

J Pediatr 2006;148:6528 [DOI] [PMC free article] [PubMed] [Google Scholar] 2.Blackford MG, Felter T, Gothard MD, et al

Apply sunscreen during the day to protect your brightened skin from UV damage

If this subtle approach does not resolve the problem, other possible approaches include changes in the pharmaceutical form for oral administration, weekly oral ingestion of LT4 under the supervision of medical staff, or exceptionally (and preferably at an expert centre) the parenteral infusion of LT4
