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Keep in mind that your patients often provide valuable clues through their own self-assessments, said Pham

Importantly, patients must agree to adhere to lifestyle changes regarding diet, exercise, and behavior (no excessive alcohol consumption)

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These test results correlate with focal collection of lymphocytes on histologic examination of the thyroid glands(40), are frequently associated with elevated levels of TSH(41), and probably represent one end of a spectrum of thyroid damage