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95% CI, 0.78-0.99

[4] Drug-drug interactions False alterations of thyroid labs are not to be mistaken with drug-drug interactions, which occur between thyroid hormones and certain medications, and lead to actual changes in thyroid hormone levels

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After screening these records, eight reports of seven RCTs [18,19,20,21,22,23,24,25] with a total of 6609 participants were included in the systematic review and meta-analysis (Fig