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Conversely, symptoms suggesting excessive thyroid hormone replacement (hyperthyroidism), including palpitations, tremor, anxiety, heat intolerance, or insomnia, particularly in the context of significant weight loss, warrant evaluation and possible levothyroxine dose reduction

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doi: 10.1007/s00441-006-0266-5 73 GelbTPshenichkinSRodriguezOCHathawayHAGrajkowskaEDiRaddoJOet al

Results: MetaSights MASH-Fibrosis Score shows high diagnostic performance for identifying significant fibrosis (stage F2) with an AUC of 0.79 and sensitivity of 57% at a specificity of 90%