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Thus, although patients can be euthyroid or even present with thyrotoxicosis at initial diagnosis, it is believed that most HT cases ultimately evolve naturally towards hypothyroidism [6]

The primary difference lies in their origin and mechanism

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Any lipid-lowering medications and nonvitamin supplements (including -3 fatty acids) were discontinued from 6 weeks before the first study until the end of the second study, and subjects were instructed to avoid alcohol and acetaminophen-containing medications
