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This is because side effects, plateaus, and dose changes need supervision

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Vanderpump MPJ

Premium, long-term research remains scarce

doi:10.1096/fba.2021-00022 13

A wide range of studies reported both overt and subclinical hypothyroidism as a risk factor of nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH), the chronic liver diseases that might progress to cirrhosis and hepatocellular carcinoma [3741although some newly published studies failed to find such an association [42,43]