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Adequate thyroid function supports efficient energy production at the cellular level, influencing how calories are burned, how fats and carbohydrates are metabolized, and how responsive tissues are to other key hormones such as insulin, cortisol, estrogen, progesterone, and testosterone

As you taper off the drug, your clinician may decide to help manage blood sugar spikes by changing what you eat, or adding other medications to your treatment plan that can control blood sugar

Secondary changes related to the endothelial cell damage and/or obstruction of the sinusoids leading to local ischemia may be seen

This is a middle-ground approach between a full drug holiday and no intervention