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However, while these benefits are enticing, they must be weighed against potential risks, especially for those with existing kidney concerns

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For individuals with elevated TPO antibodies and currently normal TSH (a condition called euthyroid Hashimotos or subclinical Hashimotos), longitudinal data shows a 4-5% annual risk of progressing to overt hypothyroidism requiring thyroid hormone replacement

doi: 10.1016/S0140-6736(14)60976-4 232 HannonTSArslanianSA