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A reasonable monitoring approach for many patients Recheck TSH, Free T4, and Free T3 every 6 to 12 months, or sooner if symptoms change Recheck TPOAb and TgAb periodically to assess immune trend, not as the only success metric Consider ultrasound when nodules, asymmetry, or neck symptoms are present Track ferritin, vitamin D, and metabolic markers when fatigue or weight changes persist Antibody levels can fluctuate
Papachristodoulou A, Heidegger I, Virk RK, Di Bernardo M, Kim JY, Laplaca C, Picech F, Schfer G, De Castro GJ, Hibshoosh H
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