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One proposed strategy to address persistent symptoms has been to adjust LT4 dosing in order to maintain TSH levels in the lower part of the reference range (e.g., 0.4–2.0 mU/L), based on the hypothesis that doing so may more closely approximate the physiological set-point and potentially improve clinical outcomes

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I’d go with a 31g insulin in the meaty part of the palm of my hand but I don’t want to knick any vein or nerve