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*Correspondence: Alberto J

Keep out of reach of children and pets

Although there are discrepancies in the literature regarding their various chiral forms, these metabolites are produced from all three active metabolites by different UGT enzymes

Simply stated, there are medications that interfere with thyroid lab results by actually interfering with thyroid hormone function this means they cause real alterations in thyroid hormone levels

Clinical features include: Enlargement of the hands, feet, and jaw Paraesthesia in the extremities Amenorrhoea Coarse facial features, including a wide nose and rounded face Hypertension Cardiomegaly (enlargement of the heart) Treatment includes surgical removal of the pituitary tumour , typically via the sphenoid bone (transsphenoidal approach) if the tumour is large enough, or medical management using somatostatin analogues.