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A form of painful chronic thyroiditis with amyloid infiltration has also been described, and is probably etiologically distinct from Hashimoto's thyroiditis(100)

[1] However, because long-term safety data for low-dose oral MB is not robust, physicians generally proceed cautiously and will periodically re-evaluate the necessity of continuing

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This dual mechanism means portion sizes naturally shrink without conscious restriction, which is why nutrition planning matters: eating too fast or choosing hard-to-digest foods can trigger nausea, vomiting, or abdominal discomfort