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From the paper: While levothyroxine remains the golden standard of care, its inability to resolve persistent symptoms in a subset of patients highlights the need for alternative approaches. Also: 20 percent of patients remain symptomatic despite normalization of TSH, and T4 monotherapy may induce a relative and sometimes absolute deficiency of T3

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First, follow the basic rules, including enough rest and drinking plenty of fluids, wearing a mask, washing your hands, wiping surfaces, and avoiding crowds