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If vegan, discuss fortified foods or supplements to prevent recurrence

Statements Data availability statement The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding author

In suspected cases of myxoedema then you need to start treatment straight away without waiting for confirmation of diagnosis Additional Investigations TPO antibodies confirm an autoimmune cause Cholesterol patients often have hypercholesterolaemia FBC for anaemia Typically normocytic, although it may be macrocytic when pernicious anaemia is also present, and may even be microcytic in the presence of menorrhagia

Having too much caffeine, alcohol or sugar can both dehydrate the body and skin, and can also lead to puffiness in the skin around the eyes, which in turn emphasizes the presence of dark circles