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Steps for administering a subcutaneous injection Perform the injection in a fatty area of the body, for example the abdomen or upper lateral arm

Lithium, a prevalent treatment for BD, has been associated with hypothyroidism, the development of goiters, hyperthyroidism due to thyroiditis, and in rare cases Graves disease.[40] Similarly, quetiapine and valproic acid (two other medications used to treat BD) have both been shown to affect thyroid function.[41,42] Since thyroid abnormalities are common amongst patients with BD, and some of the medications used to treat BD, it is recommended that patients undergoing treatment regularly have their thyroid levels tested to prevent changes in mood due to hormone imbalances.[43] Anxiety Approximately 60% of people diagnosed with hyperthyroidism and 30% of those diagnosed with hypothyroidism are affected by anxiety.[44] The correlation between symptoms of thyroid malfunction and anxiety are so similar that Graves disease, an immune-system disorder that results in hyperthyroidism, can at times be misdiagnosed as a panic disorder.[45] An investigation conducted by Dr