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Referral to an endocrinologist is typically warranted for suspicious ultrasound features, rapid nodule growth, compressive symptoms, or abnormal cervical lymph nodes

The first and rate-limiting step is catalyzed by the enzyme glutamate-cysteine ligase (GCL), which fuses glutamate and cysteine

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While this is therapeutically beneficial, the transition from high blood sugar to normal levels can cause temporary fatigue as your body adapts to operating with healthier glucose levels