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Pregnant women with TPO-Ab-positive have a higher risk of preterm delivery and miscarriage, as well as the development of postpartum thyroid dysfunction (PPTD) and eventually permanent hypothyroidism (57)

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Chronic hyperglycemia and depression exhibit a bidirectional relationship in both T1DM and T2DM, with this association being mediated by suboptimal diabetes self-care management [112]

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487,488,489 However, these findings appear to contradict Fangs results