C and D on the FDA 2877 and insert the word or  between the Affirmations. Note: The U.S. Customs Service will treat this entry as a. D Declaration for purposes of duty. Such requests must be made on the FDA 766; include Items 1, 2, and 3 under Declaration C, a. statement of the need to use the option C or D Declaration, a statement of how the product(s) will be brought into compliance and the.
There are 2 reasons that could be the cause behind your low TSH: 1  Your glands simply aren't producing enough;  Your thyroid gland is producing too much of the thyroid hormone which signals to your brain to stop producing anymore.
A drug history should also be taken: in this setting of a low TSH level, is the patient taking amiodarone or levothyroxine? Less common drug induced causes of a low TSH level are high dose prednisolone, recent treatment with carbimazole, and dopamine infusion.