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Physicians' opinions on management of subclinical hypothyroidism vary

Opinions Vary on Management of Subclinical Hypothyroidism

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Physicians present cases for and against treatment for a 60-year-old patient
Patients undergoing parathyroidectomy for primary hyperparathyroidism have lower quality-of-life than controls undergoing thyroid surgery

Parathyroidectomy Ups QOL in Primary Hyperparathyroidism

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After successful surgery, quality-of-life scores improve to level of controls undergoing thyroid sx
For patients with primary hyperparathyroidism

Surgery Cuts Fracture Risk in Primary Hyperparathyroidism

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Reduced fracture risk for surgery; bisphosphonate treatment no better than observation
Hypothyroidism may increase risk for type 2 diabetes

ENDO: Hypothyroidism Ups T2DM Odds Even With Low-Normal TSH

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Higher free thyroxine levels associated with reduced diabetes risk
Patients who have their thyroidectomy performed by a surgeon who does more than 25 such procedures a year tend to have fewer complications

Surgeons With >25 Cases a Year Optimal for Thyroid Removal

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Risk of complications 87 percent higher when case load is one thyroidectomy case a year
There is stronger evidence of a link between the herbicide Agent Orange and bladder cancer and hypothyroidism among U.S. military personnel exposed to the chemical during the Vietnam War

Evidence Links Agent Orange to Bladder Cancer, Hypothyroidism

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Also, veterans with Parkinson's-like symptoms can file claim for the condition
Women with hyperthyroidism have increased breast cancer risk

Thyroid Function Level Linked to Breast Cancer Risk

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Increased risk of breast cancer in women with hyperthyroidism; lower risk for hypothyroidism
In the elderly

Subclinical Hypothyroidism May Not Up VTE Recurrence Risk

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Also, subclinical hyperthyroidism may be associated with lower risk of recurrent VTE in the elderly
Stimulation of the vagus nerve as part of intraoperative neuromonitoring during thyroid surgery can result in severe cardiac complications

Vagal Nerve Stimulation Can Lead to Cardiac Complications

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In two cases, patients became asystolic after dissection, stimulation of vagus nerve in thyroid sx
Celiac disease is a risk factor for development of autoimmune thyroid disease in patients with type 1 diabetes

Celiac Disease Ups Autoimmune Thyroid Disease Risk in T1DM

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Excess risk highest in those with celiac disease for 10 years or more