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According to NICE guidance (NG145), the standard treatment is levothyroxine replacement therapy, with dose titration based on regular TSH monitoring, typically checking TSH 6-8 weeks after dose changes with the aim of achieving a TSH within the reference range

Higher doses are more likely to cause these symptoms, which is why starting low and going slow is so important

While blood sugar remains important, it has become increasingly clear that cardiovascular disease is the leading cause of death in people with diabetes

What people in studies dropped were real numbers, not just a little

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It does not alter DHT levels through its primary mechanism