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This complexity of findings has generated various hypotheses, suggesting that such pharmacotherapeutic agents might exert appreciable effects on thyroid volume and, consequently, on its functional dynamics

Her past medical history is notable for cryptogenic cirrhosis, CKD stage III, hypertension, obstructive sleep apnea, morbid obesity, and a remote episode of Guillain-Barr syndrome (GBS), with residual mild lower extremity weakness

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Fourth, symptoms follow a circadian pattern, being worse in the evening or at night