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So the expiration date doesn't really indicate a point at which the medication is no longer effective or has become unsafe to use. It's true the effectiveness of a drug may decrease over time, but much of the original potency still remains even a decade after the expiration date.
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If left untreated, hyperthyroidism can cause serious problems with the heart, bones, muscles, menstrual cycle, and fertility. During pregnancy, untreated hyperthyroidism can lead to health problems for the mother and baby. Graves' disease also can affect your eyes and skin.
Is there an alternative to levothyroxine?
Levothyroxine replaces the thyroxine hormone, which your thyroid doesn't make enough of. If blood tests suggest you may have an underactive thyroid, but you don't have any symptoms or they're very mild, you may not need any treatment.