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Levothyroxine or l-thyroxine is artificially manufactured thyroxine, which is used as a drug to treat underactive thyroid conditions in humans. The drug, levothyroxine, is consumed daily in a prescribed dose to replace the missing thyroid hormone thyroxine in an individual with an underactive thyroid, and it helps to maintain normal physiological conditions. Though it is a life-maintaining drug, it replaces the missing thyroid hormone and performs the necessary daily metabolic functions in our body. Like all other allopathic drugs, it comes with certain side effects, which include joint pain, cramps in muscle, weight gain/loss, hair loss, etc. The thyroid hormone, thyroxine, is known to mobilize fat in our body, including the ones from the hepatic system. An underactive thyroid may cause an accumulation of fat in the liver, leading to a fatty liver, which is clinically termed Non-Alcoholic Fatty Liver Disease (NAFLD). The correlation between hypothyroidism and NAFLD is now well-studied and recognized. As levothyroxine performs the functions of the missing thyroxine, it is anticipated, based on certain preliminary studies, that the drug helps to mobilize hepatic fat and thus may have a crucial role in mitigating the condition of NAFDL.

<abstract> <p>Natural compounds are a repertoire of organoleptic molecules. This indicates that although they are not a significant source of nutrients, still they exhibit a wide range of medicinal properties through their plethora of anti-inflammatory and immune-modulatory activities. Coumarins, found in a variety of plants from different biodiversity regions, also have been reported to be present in many plants of the Indo-Gangetic plain. Here, we would attempt to enumerate the natural coumarin compounds, their pharmaco-therapeutic potential and their occurrence as well as abundance in the flora of the aforesaid biodiversity region. Coumarins, derived their name from the French word “coumarou” for Tonka bean. First isolated in 1820, coumarin still finds its relevance in the study of implementation of natural compounds in treating neuro-degenerative and cancer-like fatal diseases. Naturally occurring benzopyrones, chemically classified as lactones and coumarin compounds need to be reviewed to develop new era drugs from natural resources. This promises an effective treatment regimen with minimal side effects and also paves the path for a sustainable future with efforts to manage our health problems from the plant products in our immediate environment.</p> </abstract>

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