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In addition, intellectual disability, short stature, coarse facial features, spinal abnormalities, and enlargement of liver and spleen are observed in surviving patients

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(I went a few years, ordering levothyroxine from India with no prescription, managing it on my own, and going to a lab every 3 years or so to get a TSH.) In the past, any complete cessation of my thyroid medication (levothyroxine) would result in me hitting a wall of fatigue on about the 2nd or 3rd day off the medication

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