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®
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®
treatment.
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I've been taking Levoxyl
®
for less than 90 days
I've been taking Levoxyl
®
for more than 90 days
YES
, sign me up to receive 4 issues of the
Levoxyl
®
For Life
SM
e-newsletter,
Smart Life News
, plus 3 FREE Levoxyl
®
sample coupons.
Tell us how you were feeling before you started taking Levoxyl
®
and we will email your responses one year from now! We will also make this list available in the
Levoxyl
®
For Life
SM
site so you can discuss it with your doctor.
YES
, sign me up to receive an email one year from now reminding me of the symptoms I've indicated below, so I can track my progress.
NO
, I prefer not to receive the FREE Symptom Check-In
NA
1
2
3
4
5
1. Fatigue
2. Weakness
3. Weight Gain
4. Hair-loss
5. Coarse Dry Hair
6. Memory Loss
7. Decreased Libido
8. Cold Intolerance
Print my symptoms
NA
1
2
3
4
5
1. Fatigue
2. Weakness
3. Weight Gain
4. Hair-loss
5. Course Dry Hair
6. Memory Loss
7. Decreased Libido
8. Cold Intolerance
YES
, I would like to receive additional email updates from
Levoxyl
®
for Life
SM
loyalty program.
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