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Referral to an endocrinologist is recommended for patients who are pregnant or planning pregnancy, pediatric patients, those with nodules or goiter, discordant laboratory results, persistent symptoms despite normal TSH, or suspected myxedema coma (requiring urgent care)

Dong, M., Wen, S

Genetic analyses in mice suggested that these actions were mediated through central nervous system GLP-1Rs and associated with the induction of POMC and leptin receptor expression in the arcuate nucleus [112]

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