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Symptoms that often prompt deeper evaluation Persistent fatigue that is not explained by sleep Cold intolerance Constipation or slowing motility Hair shedding or thinning Dry skin Brain fog or low mood Weight gain that does not match intake Neck fullness or pressure Irregular cycles or fertility challenges These symptoms are not specific to Hashimotos, which is why a full functional evaluation matters
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44 Its relevance in orthopaedics may lie in its ability to support cognitive recovery and psychological well-beingfactors that can improve rehabilitation and patient-reported outcomes postoperatively
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