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Still, the findings suggest the need for patient-tailored decisions to maximize the benefits and minimize harms and overuse of treatments, they concluded.

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Clinics generally advise against starting treatment for anyone who: Is pregnant Has a personal or family history of thyroid cancer Has a history of multiple endocrine neoplasia (MEN) syndrome BMI and health history serve as a useful starting point for this evaluation, not an absolute cutoff, since metabolism and overall wellness also weigh into a provider's decision

For individuals with high-stress jobs or those who need to be physically active during the day, this can be a significant deterrent