Garnish with a lemon wedge. Ciroc Caribbean-Combine 1.5 oz Ciroc Coconut Vodka, 3 oz pineapple juice and .25 oz fresh lime juice over ice in a rocks glass. Top with soda. Garnish with a lime wedge.arnish with a lemon wedge. Ciroc Caribbean-Combine 1.5 oz Ciroc Coconut Vodka, 3 oz pineapple juice and .25 oz fresh lime juice over ice in a rocks glass. Top with soda. Garnish with a lime wedge.
More serious side effects can also occur. If you have any of these side effects, stop taking levothyroxine and get medical treatment right away: Chest pain; Rapid or irregular heartbeat or pulse
Read More. Seems like the big hazards are supplements and meds taken too soon before or after the Synthroid, but the Physician's Desk Reference also includes this: A high-fiber diet, soy-containing supplements, and walnuts can also interfere with the effects of levothyroxine..