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Of the 114 patients who were eligible for inclusion in the study, 38 patients were excluded according to our study exclusion criteria, and 76 patients participated in the study, including 43 individuals assigned to the control and 33 to the intervention group (Fig

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Patients may experience fatigue, weight gain, inability to warm up as well as other debilitating symptoms for years before treatment is considered and by then it is often too late to restore thyroid gland function and health