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For patients with persistent symptoms despite optimal thyroid hormone replacement, further investigation may be warranted to exclude other conditions such as coeliac disease , vitamin D deficiency, iron deficiency anaemia, or depression, all of which are more common in individuals with autoimmune thyroid disease
Some people see these medications as a breakthrough
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For example, a study by Falutz et al., New England Journal of Medicine (2010) demonstrated measurable reductions in VAT with Tesamorelin therapy, supporting its clinical efficacy
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