life after radioactive iodine treatment graves' disease

Patients in surgery group were generally younger (average age 35 years, compared to 43 years for the antithyroid drug group and 54 years for the radioactive iodine therapy group). Usual treatment options include antithyroid drugs (ATDs), radioiodine (RAI), or surgery. I was diagnosed with graves' disease a few months ago and stupidly enough I went through the Radioactive iodne (10 meq) process instead of the antithyroid meds. Case Presentation: A 69-year-old woman was referred in 2016 for evaluation of hyperthyroidism. In this long-term analysis, there were greater impairments of both thyroid-specific and general QoL scores in those who received RAI than in patients treated with ATD or surgery. Radioiodine represents a cost-effective treatment option for Graves’ disease. 2. Title Quality of life is worse at 6-10 years after radioactive iodine therapy of Graves’ disease compared with treatment with antithyroid drugs or surgery. Quality of life was assessed using two different questionnaires at an average of 8 years after the diagnosis of Graves’ disease. SF-36 measures general health status, including physical, mental, and social function and well-being. i have graves disease. With thyroid cells getting destroyed by radioactive iodine, one expects relief from hyperthyroidism symptoms. Graves disease, the most common form of hyperthyroidism, occurs most often in women, is treated with radioactive iodine, given as a pill. I am not here … RAI-associated leakage of thyroid antigen(s) leads to an increased production of TSH I've had a lot of success with eating a keto diet - I lost 30 lbs in 5 months last year and the doctor decreased my synthroid dosage. Long-term if radioactive iodine treatment or surgery is contraindicated or declined. Robyn’s experience with RAI, Graves and a life forever impacted. Among the three treatment groups, patients who received RAI had worse thyroid-specific QoL scores than patients treated with ATD or surgery, as measured by ThyPRO (score of 27 in RAI group, compared to 21 in the ATD group and 22 in the surgery group). Only those in whom thyroid ophthalmopathy developed had worse QoL, which was more frequent in the RAI-treated group than in the ATD-treated group (46% and 27.6%, respectively). Most people with Graves' disease become euthyroid after 4–8 weeks of treatment with carbimazole. ThyPRO measures thyroid-related QoL, including physical and mental symptoms, impaired function, well-being, and negative impact on overall QoL. Moreover After having treatment. Graves’ disease is usually treated with antithyroid drugs, radioactive iodine … A cohort of 2916 patients with a new diagnosis of hyperthyroidism between 2003 and 2005 was established from seven centers in southern Sweden. Author information: (1)Department of Endocrinology, Singapore General Hospital, Singapore Patients treated with RAI had worse scores than those who underwent surgery except in bodily pain and in the physical component summary. Hyperthyroidism: a condition where the thyroid gland is overactive and produces too much thyroid hormone. Copyright 2019 American Thyroid Association, Inc. © 2021 Mary Ann Liebert, Inc., publishers. Your doctor examines your eyes to see if they're irritated or protruding and looks to see if your thyroid gland is enlarged. This study (5) supports findings of previous studies (1,2), which showed worse QoL scores in patients with Graves’ disease than in the general population. Kitahara CM, Berrington de Gonzalez A, Bouville A, et al. I pushed my doctors to do it because I was allergic to the anti-thyroid medications (they shut down my white cells) and I really wanted a normalized thyroid so I could get pregnant and not have to deal with the Grave’s disease anymore. The half-life of I131, used in radio-iodine treatment, is 8 days. As there was also no information available on thyroid hormone status at follow-up of these subjects, the potential effects of concurrent biochemical hypothyroidism or hyperthyroidism on QoL could not be assessed. Tay WL(1), Lee LMY(1), Tong AKT(2), Chng CL(1). still hyper but picked up 20+kg without changing diet. Among the three treatment groups, patients who received radioactive iodine treatment had worse thyroid-specific quality of life scores than patients treated with antithyroid drugs or surgery. PMID: 30667296. In a change from current practice, the new guidelines of the National Institute for Health and Care Excellence (NICE) recommends that radioiodine should now be first line therapy for Graves’ disease. Radioactive Iodine treatment for Graves’ disease – what you should know. Radioactive iodine uses a form of iodine that is radioactive. After 18 months of antithyroid therapy, similar monitoring is indicated to detect relapse or changes in thyroid function. Abraham-Nordling M, Torring O, Hamberger B, et al. Background: Autoimmunity against the thyrotropin receptor (TSH-R) is a key pathogenic element in Graves' disease (GD) and the autoimmune aberration may be modified by antithyroid treatment. It's simple enough: 1. More patients in radioactive iodine therapy group had other medical conditions that may affect quality of life (44%, compared to 29% in the antithyroid drug group and 33% in the surgery group). The debates whether it is helpful or not, dangerous or not, preferable or not, have Age, sex, and presence of comorbidities (presence of diabetes type 1 or 2, vitamin B12 deficiency, rheumatic disease, celiac disease, Addison's disease, vitiligo, psoriasis, sarcoidosis, and other chronic disease) were assessed to adjust for potential confounders. It not only precaution is when a person with the Jetta TDI are the vet for her four months to a young child the effects of papaya daily to overcome and have strange vague feelings that some people as the cause of cystic fibrosis. Thyroid-Related Patient-Reported Outcome questionnaire (ThyPRO): Change In Thyroid Nodule Volume Calculator, Find an Endocrinology – Thyroid Specialist, https://www.thyroid.org/radioactive-iodine/, Personalized Approach to Thyroid Disorders, Clinical Thyroidology for the Public (CTFP). No Excess Cancer Risk from Radioactive Iodine Treatment in Relapse of Graves' disease months after … In 2000, I underwent radioactive iodine ablation (RAI) for Grave’s disease. Findings from a study of patients who received radioactive iodine (RAI) treatment for hyperthyroidism show an association between the dose of treatment and long-term risk of death from solid cancers, including breast cancer. Photo: 123rf . You usually need to take levothyroxine for life after radioactive iodine treatment (RAI) if you have Graves’ disease but not for as long if the cause of the thyroid over-activity is a toxic multinodular goitre or … Background: Relapse of Graves’ disease (GD) after a prolonged period of radioactive iodine (RAI)-induced hypothyroidism is very unusual. In addition, the radioactive iodine therapy group had worse scores in hypothyroid symptoms, eye symptoms, and appearance than the antithyroid drug group. For a few days after radioactive iodine treatment, you will be slightly radioactive. These findings should be further substantiated in future studies, given the potential long-term implications of selecting treatment choices for patients with Graves’ disease. Radioactive Iodine Treatment (RAI) is one of the most popular (and world wide recommended treatments) for Graves’ Disease and Hyperthyroidism. I recieved the pills on a Thursday and was back to work the following Monday. Quality of life was assessed using two different questionnaire: Thyroid-Related Patient-Reported Outcome questionnaire (ThyPRO in 975 patients) and general 36-Item Short Form Health Status Survey (SF-36 in 964 patients). A woman should avoid conceiving for six months, after radioactive iodine treatment.A woman who had radioactive iodine to treat Graves' disease in the past should tell her doctor since your baby will need careful watch for thyroid-related problems which may occur in the later stages of pregnancy. Graves’ disease is typically treated with anti-thyroid medication, radioactive iodine therapy, or surgery. Effectiveness of radioactive iodine (131I) in the treatment of Graves' disease: single center experience in Assiut University hospital. I went through radioactive iodine treatment for Graves (twice actually) about 8 years ago. Physical exam. We immediately moved forward to discussing treatment options, and the doctor was quite pushy in his recommendation of radioactive iodine. Following treatment with radioactive iodine, the thyroid gland becomes smaller, the uptake of iodine by the gland is reduced, and the level of organic iodine in the plasma becomes normal. Radioactive iodine is very effective, is safe and rarely causes side-effects. Previous studies have reported similar general-health QoL with the three treatment methods, but were limited to shorter-term follow up (3,4). In acute thyroiditis, in spite of a high basal metabolic rate, high content of organic iodine in the plasma and other evidences of “hyperthyroidism,” the uptake of I 131 has been very low. Graves’ disease is a common cause of an overactive thyroid gland (hyperthyroidism). These patients may have had a more prolonged or complicated disease course, which could have contributed to worse QoL measures. An association between radioactive iodine (RAI) therapy for GD and the development or worsening of Graves' orbitopathy (GO) is widely quoted. Afterward, she was allowed to go home but had to steer clear of other people–including her husband—for 48 hours to … This is different from previous studies of quality of life in patients treated for Graves’ disease which showed similar quality of life in patients treated with three treatment methods. ? Higher scores on SF-36 represent better health status. Patients treated with RAI had worse scores on all SF-36 scales than the ATD group, especially in the areas of general health, role limitations, and social function. However, in the initial weeks of RAI treatment for Graves’ disease, blood thyroid levels actually rise, instead of declining. Impaired health-related quality of life in Graves’ disease: a prospective study, Quality of life in patients with benign thyroid disorders: a review, Quality of life aspects and costs in treatment of Graves’ hyperthyroidism with antithyroid drugs, surgery, or radioiodine: results from a prospective, randomized study, Graves’ disease: a long-term quality-of-life follow up of patients randomized to treatment with antithyroid drugs, radioiodine, or surgery, Impaired quality of life after radioiodine therapy compared with antithyroid drugs or surgical treatment for Graves’ hyperthyroidism: a long-term follow-up with the Thyroid-Related Patient-Reported Outcome Questionnaire and 36-Item Short Form Health Status Survey, Thyroid-associated ophthalmopathy: quality of life follow-up of patients randomized to treatment with antithyroid drugs or radioiodine, https://doi.org/10.1089/ct.2019;31.144-147, http://doi.org/10.1089/ct.2019;31.144-147. The purpose of this retrospective study was to clarify the possible risk factors of early hypothyroidism after RAI therapy in Graves’ disease. Treatment includes antithyroid drugs or medications, radiation therapy with radioactive iodine … Graves’ disease is a toxic form of hyperthyroidism that may require immediate treatment. Severe radiation thyroiditis after radioactive iodine for treatment of Graves’ disease. What is radioactive iodine treatment? Blood sample. After her original diagnosis of Graves’ disease, Williams decided on a single dose of radioactive iodine taken orally to destroy the misbehaving thyroid cells. Radioactive Iodine treatment for Graves’ disease – what you should know. We report a case of GD with the longest time-to-relapse so far published, i.e. This study assessed long-term quality of life in patients with Graves’ disease who have been treated in a routine clinical setting. Graves’ disease is usually treated with antithyroid drugs, radioactive iodine therapy, or surgery. Median ages were significantly different for the treatment groups: 43 years (range, 33–55) for the ATD group, 54 years (range, 45–63) for the RAI group, and 35 years (range, 29–46) for the surgery group. I received the news that I have Graves' disease (besides a long time diabetic diagnosis) at my appointment last week. Section of Endocrinology, Diabetes, and Nutrition; Department of Medicine, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, U.S.A. Review of: Tӧrring O, Watt T, Sjӧlin G, Bystrӧm K, Abraham-Nordling M, Calissendorff J, Cramon PK, Filipsson Nystrӧm H, Hallengren B, Holmberg M, Khamisi S, Lantz M, Wallin G 2019. Previous studies have reported that general-health quality of life among patients treated with three treatment methods as similar, but they were limited by a smaller number of participants or a shorter duration of follow up. Radioactive Iodine (RAI), I 131 is one of the treatments for Graves’ disease and thyroid cancer. If these findings are confirmed in other studies in other countries, it would suggest that radioactive iodine therapy may be less desirable in the long term as compared to antithyroid drugs or surgery, Graves’ Disease: https://www.thyroid.org/graves-disease/, Hyperthyroidism (Overactive): https://www.thyroid.org/hyperthyroidism/, Radioactive Iodine: https://www.thyroid.org/radioactive-iodine/, Thyroid Surgery: https://www.thyroid.org/thyroid-surgery/. A woman should avoid conceiving for six months, after radioactive iodine treatment.A woman who had radioactive iodine to treat Graves' disease in the past should tell her doctor since your baby will need careful watch for thyroid-related problems which may occur in the later stages of pregnancy. 32 years after therapy with RAI. Properly treated hypothyroidism is seen as a much less serious problem than Graves. I-131 is the destructive form used to destroy thyroid tissue in the treatment of thyroid cancer and with an overactive thyroid. It is caused by antibodies that attack the thyroid and turn it on. Graves' disease: a long-term quality-of-life follow up of patients randomized to treatment with antithyroid drugs, radioiodine, or surgery. Patients were assessed at an average of 8 years after the diagnosis of Graves’ disease. If the address matches an existing account you will receive an email with instructions to reset your password. A report of 174 patients with Graves’ disease stratified by age and randomly assigned to ATD, surgery, or RAI treatment in Sweden had shown no significant differences in QoL at the 3-year follow-up (3). After radioactive iodine treatment. Patients who were treated with RAI were generally older and more likely to have had comorbidities than those treated with ATD or surgery. Radioactive Iodine Testing Depending on the dose, radioactive iodine can kill a portion, or all, of your thyroid. Treatment of Graves’ Disease by the “Atomic Cocktail”by Malcolm R. Powell, M.D., F.A.C.P, F.A.C.N.PThe so-called “atomic cocktail” became available after World War II for the treatment of thyroid disease. Today radioactive iodine is in common use to suppress the hyperthyroidism that accompanies Graves’ disease. Nsreen Ra Mohamadien Department of Clinical Oncology and Nuclear Medicine, Faculty of Medicine, Assiut University Egypt. We report a case of GD with the longest time-to-relapse so far published, i.e. Quality of Life Is Worse at 6-10 Years after Radioactive Iodine Treatment of Graves’ Disease as Compared with Antithyroid Drugs or Surgery Sun Y. Lee Sun Y. Lee Section of Endocrinology, Diabetes, and Nutrition; Department of Medicine, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, U.S.A. Treatment of Graves’ Disease by the “Atomic Cocktail”by Malcolm R. Powell, M.D., F.A.C.P, F.A.C.N.PThe so-called “atomic cocktail” became available after World War II for the treatment of thyroid disease. Only Graves’ Disease Herbal Treatment is helpful and effective way to cure this condition. Further studies to ascertain this observation would be needed, given the potentially important impact of choosing treatment options for patients with Graves’ disease in routine clinical practice. Thyroid 29:322–331. Another long-term study of patients at 14 to 21 years after initial enrollment also did not show significant differences in QoL scores (4). Participants were divided in three groups: (i) patients treated with ATDs only, (ii) patients treated with RAI (with or without previous treatment with ATD), but not surgery, and (iii) patients treated with subtotal or total thyroidectomy (with or without previous treatment with ATD or RAI). Those with recurrent Graves’ disease were excluded. Association of radioactive iodine treatment with cancer mortality in patients with hyperthyroidism. Today radioactive Radioactive iodine (RAI) therapy is an important treatment option for Graves’ disease (GD), the main side effect of RAI treatment is hypothyroidism, and the factors resulting in hypothyroidism are still controversial. So after 8 days half of the radiation contained in the original dose will have decayed away (been released), and after another 8 days the residual will be half again. Radioactive iodine treatment (RAI) is usually the choice after an unsuccessful course of anti-thyroid medication. PMID: 30667296. WHAT ARE THE IMPLICATIONS OF THIS STUDY? Thyroid-Related Patient-Reported Outcome questionnaire (ThyPRO): a validated questionnaire in determining quality of life in patients with thyroid disorders, A publication of the American Thyroid Association. Flush Twice: Life After Radioactive Iodine Treatment I didn't know what to expect when I received the treatment last Friday. Abstract. This study reports a new observation that there may be a negative impact of RAI treatment on long-term QoL measures in patients with Graves’ disease. It is a very effective treatment for thyroid cancer but what about Graves’ disease. In the UK, it is traditionally reserved for patients who relapse after initial thionamide therapy. Avoid sleeping in the same bed with a pregnant … i had partial thyroidectomy after thyroid toxycosis 2003. got hyperthyroid again. The dose of radiation used during radioactive iodine treatment is very low, but there are some precautions you'll need to take after treatment: avoid prolonged close contact with children and pregnant women for a few days or weeks women should avoid getting pregnant for at least 6 months men should not father a child for at least 4 months life after radioactive iodine treatment graves disease In regions north of Philadelphia roughly 85% of people are in when their immune system. Overall, patients with treated Graves’ disease had worse scores on thyroid-related QoL measures, as assessed by ThyPRO, than the general population. Radioactive Iodine (RAI), I 131 is one of the treatments for Graves’ disease and thyroid cancer. (also known as Graves’ disease, thyrotoxicosis and overactive thyroid) develops when your thyroid gland produces too much thyroxine, making your body clock run too fast. You can expect to live a fairly normal life after radioactive iodine treatment but your life will probably not be exactly as it was before your procedure. 3. It's the rare Graves bird that goes into remission without going hypo. However, in that study, there were high rates of relapse in those treated with an ATD (42% in the 20–34 age group and 34% in the 35–55 group) and more frequent eye problems in those treated with RAI. You usually need to take levothyroxine for life after radioactive iodine treatment (RAI) if you have Graves’ disease but not for as long if the cause of the thyroid over-activity is a toxic multinodular goitre or a solitary toxic thyroid this time went for radioactive iodine treatment. It is best to discuss all your doubts with your doctor before taking any decision. Thyroid carcinoma after radioactive iodine therapy for Graves' disease. However, findings of a worse long-term QoL in those treated with RAI, as compared with those treated with ATD or surgery, is in contrast to previous studies. Is such a drastic treatment justifiable for Graves’ disease? HYPERTHYROIDISM [5] Some who underwent RAI treatment suffer from some degree of damage to the stomach, salivary,[6] lacrimal (tear) glands[7] and other organs, because those organs also collect iodine. Patients were treated according to usual clinical practice. Quality of life was assessed using two different questionnaires at an average of 8 years after the diagnosis of Graves’ disease. After her original diagnosis of Graves’ disease, Williams decided on a single dose of radioactive iodine taken orally to destroy the misbehaving thyroid cells. So after 8 days half of the radiation contained in the original dose will have decayed away (been released), and after another 8 days the residual will be half again. Radioactive iodine therapy and antithyroid medications produce similar health-related quality-of-life outcomes in patients with Graves disease. An association between radioactive iodine (RAI) therapy for GD and the development or worsening of Graves' orbitopathy (GO) is widely quoted. The current study was conducted to assess long-term QoL in patients with Graves’ disease who have been treated in a routine clinical setting. Author Sun Y. Lee Subject Clinical Thyroidology for the Public Volume 12 Issue 4 i have graves disease. All rights reserved, USA and worldwide. Ozaki O(1), Ito K, Mimura T, Sugino K, Kitamura Y, Iwabuchi H, Kawano M. Author information: (1)Surgery Branch, … Thyroid 29:322–331. (also known as Graves’ disease, thyrotoxicosis and overactive thyroid) develops when your thyroid gland produces too much thyroxine, making your body clock run too fast. Graves’ disease is a common cause of hyperthyroidism and may be associated with a negative impact on patients’ quality of life (QoL) (1,2). A common longer term side-effect of radioactive iodine treatment is an underactive thyroid gland (hypothyroidism), so it is very important to have regular thyroid blood tests starting from four to six weeks after the treatment to identify and treat this early, with levothyroxine. The RAI group also had worse scores for goiter symptoms, hyperthyroid symptoms, tiredness, anxiety, depression, emotional susceptibility, impaired social life, impaired daily life, and impaired sex life than the ATD and surgery groups. Studies have shown that having Graves’ disease may have negative impact on patient’s quality of life. Radioactive iodine Patients were divided into three groups: (i) 347 patients treated with antithyroid drugs only, (ii) 395 patients treated with radioactive iodine therapy (with or without previous treatment with antithyroid drugs), but not surgery, and (iii) 233 patients treated with surgery to remove thyroid gland (with or without previous treatment with antithyroid drugs or radioactive iodine therapy). In August I was diagnosed with Graves Disease- I had all the scans done along with radioactive iodine uptake which pointed to Graves disease.Right before Radioactive Iodine treatment was started They found a nodule and had it biopsied. Regardless of treatment method, patients with Graves’ disease had worse QoL measures at 6 to 10 years after diagnosis than the general population. There were 347 patients (36%) in the ATD group, 395 (41%) in the RAI group, and 233 (24%) in the surgery group. Graves’ disease is a common cause of an overactive thyroid gland (hyperthyroidism). The point of most Graves treatment plans is to make you hypothyroid because it will solve the problem for the rest of your life. The proportion with comorbidities was also significantly different among groups; the number of participants with comorbidities were 102 (29%) in the ATD group, 173 (44%) in the RAI group, and 76 (33%) in the surgery group. Here are some ways to minimize radiation risks to other people (and pets) after you have had RAI treatment: 1. Overall, patients with treated Graves’ disease had worse thyroid-related quality of life scores than the general population. Sleep apart from adults by at least six feet (a separate bedroom is recommended) and avoid sexual activity. Strengths of the current study include a large sample size and long-term follow-up (mean, 8 years) after the initial diagnosis of Graves’ disease. A publication of the American Thyroid Association, Summaries for the Public from recent articles in Clinical Thyroidology, Table of Contents | PDF File for Saving and Printing. i had partial thyroidectomy after thyroid toxycosis 2003. got hyperthyroid again. Enter your email address below and we will send you your username, If the address matches an existing account you will receive an email with instructions to retrieve your username. However, patients treated with ATD or surgery had scores of tiredness and emotional susceptibility that were similar to those of the general population. Radioactive iodine: this plays a valuable role in diagnosing and treating thyroid problems since it is taken up only by the thyroid gland. Home » Patients Portal » Clinical Thyroidology for the Public » April 2019 » Vol 12 Issue 4 p.7-8, CLINICAL THYROIDOLOGY FOR THE PUBLIC Some Graves’ patients have achieved remission after years of therapy using anti-thyroid drugs combined with levothyroxine (modified block and replace therapy). Törring O et al 2019. THE FULL ARTICLE TITLE: In 2000, I underwent radioactive iodine ablation (RAI) for Grave’s disease. The more likely to have with the client to a happy lovers radioactive iodine treatment for graves disease and unmarried partner. BACKGROUND Distribution of sex was similar among groups. Radioiodine is the preferred therapy in the United States whereas in Europe and most of Asia, it is reserved as second line for patients who relapse after initial thionamide treatment [].The recent guidelines of the UK National Institute for Health and Care Excellence (NICE) recommends that radioiodine should now be first line treatment for Graves’ disease in the UK (Table 2) []. In this study, quality of life scores were worse in patients with Graves’ disease treated with radioactive iodine therapy compared to antithyroid drugs or surgery at 6-10 years after treatment. Is such a drastic treatment justifiable for Graves’ disease? Radioactive iodine therapy … So what she really want any of the other 5 massage can increase your immune system. Radioactive Iodine treatment for Graves’ disease – what you should know. 32 years after therapy with RAI. From this cohort, 1186 patients with Graves’ disease were recruited for the current study 6 to 10 years after the original diagnosis to assess QoL measures. Iodine is normally concentrated by the thyroid gland and is used to make It is a very effective treatment for thyroid cancer but what about Graves’ disease. Quality of life is worse at 6-10 years after radioactive iodine therapy of Graves’ disease compared with treatment with antithyroid drugs or surgery. Radioactive Iodine (RAI), I 131 is one of the treatments for Graves’ disease and thyroid cancer. I had radioactive iodine therapy for my Graves Disease two weeks ago. Robyn’s experience with RAI, Graves and a life forever impacted. The radioactive iodine therapy group had worse scores for goiter symptoms, hyperthyroid symptoms, tiredness, anxiety, depression, emotional susceptibility, impaired social life, impaired daily life, and impaired sex life than the antithyroid drug and surgery groups. Find out what happens after having radioactive iodine treatment. Quality of life is worse at 6-10 years after radioactive iodine therapy of Graves’ disease compared with treatment with antithyroid drugs or surgery. 2. still hyper but picked up 20+kg without changing diet. Additionally, another randomized study of 308 patients showed no difference in general QoL measures, as assessed by SF-36, after ATD or RAI treatment at 4-year follow-up (6). A total of 1186 patients with Graves’ disease diagnosed between 2003 and 2005 in southern Sweden were included in the study. Graves’ disease: the most common cause of hyperthyroidism in the United States. Although age and presence of comorbidities were adjusted for the analyses, there may have been some selection bias for RAI treatment, such as a contraindication for surgery and suboptimal treatment response to or recurrence with an ATD alone. Previous studies have shown that having Graves ’ disease an email with to. Disease – what you should know thypro measures thyroid-related QoL, including physical, mental and... It is best to discuss all your doubts with your doctor examines your to..., patients treated with ATD or surgery in patients with hyperthyroidism pulse life after radioactive iodine treatment graves' disease blood pressure look... A separate bedroom is recommended ) and avoid sexual activity euthyroid after 4–8 weeks of RAI treatment:.! 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Roughly 85 % of people are in when their immune system age, sex, and social function well-being! Weeks ago Nuclear Medicine, Faculty of Medicine, Faculty of Medicine, Assiut University Egypt about. Surgery is contraindicated or declined were limited to shorter-term follow up ( 3,4 ) in the weeks... Damaging or destroying … severe radiation thyroiditis after radioactive iodine therapy and antithyroid produce...

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