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What symptoms may indicate a patient is receiving too high a dose of thyroid replacement hormones?

  1. Constipation and bloating

  2. Weight gain and fatigue

  3. Irritability and anxiety

  4. Persistent cough and shortness of breath

The correct answer is: Irritability and anxiety

Symptoms such as irritability and anxiety may indicate that a patient is receiving too high a dose of thyroid replacement hormones. This is because an overdose of thyroid hormones can lead to hyperthyroidism, which can manifest as these symptoms. In contrast, options A, B, and D are not typically associated with an overdose of thyroid replacement hormones. Constipation and bloating, weight gain and fatigue, as well as persistent cough and shortness of breath are more commonly seen with other medical conditions or imbalances.