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(PubMed) Herbst RA, Uter W, Pirker C, Geier J, Frosch PJ

In such cases, TSH receptor signaling becomes dysregulated, often due to TSH receptor-stimulating antibodies or somatic mutations in thyroid follicular cells, leading to increased thyroid hormone output despite suppressed TSH levels [26]

On the box, = expiry date and = lot number