Initiate lung-protective ventilation (6 mL kg-1 IBW) and postoperative chest X-ray
Some GPs may incorrectly believe that only patients with a definite diagnosis of PA, those with a positive intrinsic factor antibody test, require treatment for life so seem to be using this as their treatment exclusion criteria
For acute uses supporting detox protocols, addressing post-illness oxidative load, building visible skin-tone effects IV is the more effective route
The development of an optimal therapy is, however, complicated by certain side effects, including the possibility of post-treatment hypothyroidism and recurrence of hyperthyroidism following an initial successful treatment
One feature of dysautonomia associated with PAIS, the inability to sustain an intense effort, can be measured during a CPET (cardiopulmonary exercise test)