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related to TD were found in TSHR gene. Four TSHR variants in 5 patients were detected. Of these 5 patients, 4 had either homozygous or compound heterozygous variants and one patient with subclinical hypothyroidism had heterozygous variant. Four
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, IL-6 and TNF-α, are elevated in subclinical hypothyroidism patients ( 27 ), which could be reversed by bariatric surgery ( 19 , 20 ). In the study by Shen Qu et al. , the results revealed a correlation between the decrease in TSH and decrease in CRP
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Royal Marsden Hospital, London, UK
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such as sub-clinical hypothyroidism. There are also implications for trial protocols, as endocrinopathies already present an exception, where current guidelines support the continuation of ICPIs, having initiated hormone replacement therapy, regardless
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Department of Palliative Medicine, Bispebjerg Hospital, Copenhagen, Denmark
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National Research Centre for the Working Environment, Copenhagen, Denmark
QualityMetric Incorporated, LLC, Johnston, Rhode Island, USA
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Thyroid hormone therapy for older adults with subclinical hypothyroidism . New England Journal of Medicine 2017 376 2534 – 2544 . ( https://doi.org/10.1056/NEJMoa1603825 ) 23 Watt T Thyroid-specific patient-reported outcome measure (ThyPRO
Universitat Oberta Catalunya (UOC), Barcelona, Spain
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Univ Autònoma de Barcelona, Cerdanyola del Vallès, Spain
Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Barcelona, Spain
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Univ Autònoma de Barcelona, Cerdanyola del Vallès, Spain
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perception and electrical pain perception threshold To investigate subclinical differences, we performed a sensory responsiveness quantification using electrical perception threshold (EPT) and EPPT at baseline (T0), T1, T3 and T6 (1, 3, 6 months). They were
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Department of Endocrinology and Metabolism, Athens University School of Medicine, Athens, Greece
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Department of Endocrinology and Metabolism, Athens University School of Medicine, Athens, Greece
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used varied, all studies reported increased oxidative stress levels ( 20 , 21 , 22 , 23 , 24 , 25 , 26 ). Moreover, high oxidative stress was present irrespective of the thyroid functional status – euthyroidism ( 20 , 21 , 22 ), subclinical
Clinical Cooperation Group Diabetes, LMU München and Helmholtz Zentrum München, Munich, Germany
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Clinical Cooperation Group Diabetes, LMU München and Helmholtz Zentrum München, Munich, Germany
German Center for Diabetes Research (DZD), München-Neuherberg, Germany
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KORA Study Center, University Hospital Augsburg, Augsburg, Germany
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Institute of Epidemiology, Helmholtz Zentrum München – German Research Center for Environmental Health (GmbH), Neuherberg, Germany
DZHK (German Centre for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany
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Institute of Epidemiology and Medical Biometry, University of Ulm, Ulm, Germany
Deutsches Herzzentrum München, Technische Universität München, Munich, Germany
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Institute of Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University Düsseldorf, Düsseldorf, Germany
Division of Endocrinology and Diabetology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
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Institute of Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University Düsseldorf, Düsseldorf, Germany
Division of Endocrinology and Diabetology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
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the metabolic syndrome and its components, indicating that chronic subclinical inflammation as assessed by hsCRP is not the only factor explaining the interplay of the metabolic syndrome and sUmod. Only the association of sUmod with elevated waist
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circulating Nrg4 levels were negatively correlated with serum TC levels. Consistently, Jiang et al . reported that lower circulating Nrg4 concentrations are associated with subclinical atherosclerosis in obese adults, as shown by increased carotid intima
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production, which may be sufficient for aldosterone homeostasis, leads to simple virilizing (SV) or, less symptomatic, nonclassical CAH phenotypes (NC CAH). However, subclinical or clinical mineralocorticoid deficiency, particularly in small infants, leads to
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medication • Recognises thyroid function results which show subclinical disease and discusses these patients individually with senior staff • Arranges appropriate investigations and is able to interpret the results before developing a clinical treatment