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An alternative cause of "atrophic" hypothyroidism is the development of thyroid stimulation blocking antibodies (TSBAb), which, as the name implies, prevent TSH binding to TSH-R, but do not stimulate thyroid cells and produce hypothyroidism
10.1093/cvr/cvaf033 54 ZhangW.ChoW
Compounded peptides arent FDA-approved should that worry me
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