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Patients, when using the term indigestion, may also be describing lower GI symptoms such as constipation or the presence of undigested vegetable material in the stool, so obtaining a precise history is necessary

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Samuels, a professor at the Oregon Clinical and Translational Research Institute, stated: It is a common clinical observation that some otherwise healthy patients with hypothyroidism continue to complain of fatigue, poor mood, inability to concentrate, and vague cognitive difficulties (often described as brain fog) despite normal TSH levels. [5] 2

References: [1]Zhang, Chenghong