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It is one of the best-known peptide combinations in regenerative research and is widely discussed in relation to tissue repair, tendon biology and musculoskeletal research

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In secondary hypothyroidism the TSH is unreliable, and doses should be titrated to the T4 level Advise patients: Treatment is usually lifelong There is an association with other autoimmune diseases, particularly: Pernicious anaemia Addison’s disease About the risk of side effects Typically few, and usually dose related – due to too much thyroxine causing signs of hyperthyroidism: Palpitations and atrial fibrillation Diarrhoea Increase appetite Anxiety Insomnia Tremors Subclinical hypothyroidism Historically, a contentious issue Defined as elevated TSH, with normal T4