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Gentle swirling only
European Journal of Endocrinology , 151(Suppl 1), S17S24
Thats a HUGE increase and the majority of this increase occurs within the first 2 years of diagnosis
Showed in a landmark study (N=248) that patients with impaired gastric acid secretion needed a mean levothyroxine dose increase of 22% to 34% to maintain target TSH [5]
This level of sustained weight reduction provides a powerful opportunity to reset metabolic health, allowing patients to both begin losing weight quickly and achieve a considerable total reduction over time
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