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A patient can be taking the same dose of thyroid medication and still see a change in TSH because body weight, digestion, and metabolic status are changing in the background
Other people at risk of deficiency include those who have had intestinal surgery, including weight loss surgery
ProtasPTKpkaARybi-SzuminskaAStoronowiczJKlukowskiMWasilewskaA
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Furthermore, randomized controlled trials have shown that thyroidectomy can improve quality of life and reduce antibody levels in selected patients with persistent symptoms despite adequate levothyroxine therapy
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