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Referral to an endocrinologist is recommended for patients who are pregnant or planning pregnancy, pediatric patients, those with nodules or goiter, discordant laboratory results, persistent symptoms despite normal TSH, or suspected myxedema coma (requiring urgent care)

I'm just saying, let's be careful in select patients because I think there's the potential to do harm." Q: You found that hypotensive events were most common among patients over 65 and those with diabetes

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