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Although laboratory alterations are seen, such as a reduction in serum T 4 by 25%, T 3 by 15% and a 2 mU/L rise in TSH, these values remain within the normal ranges without clinical signs of thyroid dysfunction ( A failure of the Wolff-Chaikoff effect can give rise to the Jod-Basedow phenomenon, typically seen in patients with impaired thyroid regulation, including those with thyroid nodules

Patients who have been previously prescribed a vitamin B12 injection

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