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In suspected cases of myxoedema then you need to start treatment straight away without waiting for confirmation of diagnosis Additional Investigations TPO antibodies – confirm an autoimmune cause Cholesterol – patients often have hypercholesterolaemia FBC – for anaemia Typically normocytic, although it may be macrocytic when pernicious anaemia is also present, and may even be microcytic in the presence of menorrhagia
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They share the same receptor pathway, and doubling up dramatically increases the risk of severe gastrointestinal side effects without proportional benefit
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