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2022;55(1):159-173 e159

The authors suggested that environmental factors, such as ambient temperature, may modulate hypothalamic-pituitary-thyroid axis activity, contributing to fluctuations in disease activity or laboratory values in patients with Hashimotos thyroiditis, highlighting the importance of considering the seasonal context in the diagnosis and treatment of thyroid disorders.Finally, living in overly sterile environments with limited exposure to environmental agents has been linked to a higher incidence of HT, possibly due to reduced immune system training and altered microbiota composition (Klubo-Gwiezdzinska And Wartofsky 2022)

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The patients arm should be placed across the lap

According to some sources, they occur in Uterine fibroids are common growths that occur in the uterus

Patients with certain genetic profiles may experience milder or shorter-duration dry mouth because their receptors show naturally slower activation kinetics