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We disagree that lacking a hardship exception (as operationalized in MIPS) would undermine ASM's goals

Women should track ovulatory markers, such as basal body temperature, luteinizing hormone surge kits, and mid-luteal progesterone, alongside serum hormone panels to judge response

A recent meta-analysis showed that vitamin D supplementation significantly decreases TPOAb and TgAb titers in patients undergoing thyroid therapy, leading to improved thyroid function with reduced TSH levels and increased FT3 and FT4 levels [81]

This issue suggests that changes in energy expenditure due to altered thyroid function may be a primary factor leading to an increase in body weight, even with normal feedback regulation [59]