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This case highlights the phenotypic variability of TH deficiency DRD with absence of diurnal fluctuation which is a hallmark of typical DRD, that emphasizes the importance of genetic test in confirming the diagnosis

It is one of the most pleiotropic hormones in human biology, regulating a wide range of physiological processes, including cell growth and proliferation, protein synthesis, carbohydrate and lipid metabolism, and body composition

You can get enough B12 as a vegan by following these supplementation guidelines below

Gland Surg 9(1):124135 Douglas RS (2019) Teprotumumab, an insulin-like growth factor-1 receptor antagonist antibody, in the treatment of active thyroid eye disease: a focus on proptosis