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This presentation involved initial thyrotoxicosis (excess thyroid hormone) followed by transient hypothyroidism (insufficient thyroid hormone), a pattern characteristic of destructive thyroiditis where inflammation damages thyroid tissue and releases stored hormones
doi: 10.1055/a-2007-2061 6
Pharmaceutical research , 16 (9), 14121416
This finding is relevant to alternating because repeated switching could theoretically compound vestibular effects
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