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Weinstein G, Davis-Plourde K, Himali JJ, Zelber-Sagi S, Beiser AS, Seshadri S

After this point, the GFR begins to decline almost linearly, decreasing by roughly 8 mL/min/1.73 m 2 for each subsequent decade (Waas et al., 2021)

There are therefore diverse phenotypic presentations of thyroid autoimmunity, and patients do not necessarily present with thyrotoxicosis as the main manifestation of their autoimmune phenomena

Discuss potential contraindications and side effects associated with B12 administration, and describe appropriate responses to any adverse events that may occur