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Abstract Metabolic dysfunction-associated steatotic liver disease (MASLD) is currently a pressing public health issue associated with adverse outcomes such as cirrhosis, malignancy, transplantation, and mortality

Levothyroxine (T4) is the standard first-line treatment for hypothyroidism on the NHS

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And the combination can lead to dehydration and electrolyte imbalances if vomiting or diarrhea becomes persistent, which creates secondary risks for kidney function and overall metabolic stability

If itching does occur, there are several ways to manage it