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people are often asymptomatic and unaware that they have this condition Classes 13 are clinically significant

Eur J Endocrinol 162(1):161167 Kachouei A, Rezvanian H, Amini M, Aminorroaya A, Moradi E (2018) The effect of levothyroxine and selenium versus levothyroxine alone on reducing the level of anti-thyroid peroxidase antibody in autoimmune hypothyroidism patients

These include its actions on acetylcholine synthesis, membrane stability, nerve growth factor production, and cerebral blood flow