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Studies have shown that adding a small dose of thyroid medication to lower the TSH at this stage, results in a reduction of thyroid antibodies and can also make a big difference in your symptoms

(5) S Kol and S Khoury (2025) Luteal phase support after hCG trigger: does it support or mitigate hCG-induced potential harms

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Available online at: (accessed Sep 2023)

2- Azem F, Many A, Ben Ami I, et al

This dietary pattern change may contribute to declining b12 levels as much as or more than any absorption issue