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The good news is that many of the same root causes for iron deficiency (and related symptoms like hair loss) are also root causes of Hashimotos so know that you are addressing multiple conditions by doing the same set of interventions

Introduction Free copper accumulation in many tissues (liver, brain, cornea, joints) also known as hepatolenticular degeneration mutation in ATP7B results in free copper generates free radicals that damage tissues see Metabolism of copper topic AR inheritance Presentation Symptoms Parkinson-like symptoms hemiballismus dementia Physical exam cirrhosis corneal deposits on slit lamp examination Evaluation total serum copper serum non-ceruloplasmin bound copper urine/serum free copper hemolytic anemia Liver Biopsy If performed will show increased hepatic copper Treatment Medical ammonium tetrathiomolybdate trientine zinc Surgical Consider liver transplantation as clinical condition deteriorates Prognosis, Prevention, and Complications At risk for liver disease hepatitis cirrhosis carcinoma (hepatocellular) Also at risk for Fanconi's disease of the proximal tubules

What doesn't qualify: a patient who is emotionally distressed but not at imminent risk, chronic suicidal ideation without new plan or intent, elevated PHQ-9 scores without acute symptom escalation, or a session that runs long because the therapist chose to continue discussing difficult material

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