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Wilmar M. Wiersinga Department of Endocrinology and Metabolism, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

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following the recommendation of previous guidelines to treat SHypo in pregnancy under application of the international TSH reference ranges, many women might have been treated with levothyroxine, which would have been unnecessary if regional reference ranges

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J Karmisholt Department of Endocrinology, Aalborg University Hospital, Aalborg, Denmark
Department of Clinical Institute, Aalborg University, Aalborg, Denmark

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S L Andersen Department of Clinical Institute, Aalborg University, Aalborg, Denmark
Department of Clinical Biochemistry, Aalborg University Hospital, Aalborg, Denmark

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I Bulow-Pedersen Department of Endocrinology, Aalborg University Hospital, Aalborg, Denmark
Department of Clinical Institute, Aalborg University, Aalborg, Denmark

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A Krejbjerg Department of Oncology, Aalborg University Hospital, Aalborg, Denmark

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B Nygaard Department of Endocrinology and Internal Medicine, Herlev University Hospital, Copenhagen, Denmark

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A Carlé Department of Endocrinology, Aalborg University Hospital, Aalborg, Denmark
Department of Clinical Institute, Aalborg University, Aalborg, Denmark

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centers, the Departments of Endocrinology at Aalborg University Hospital and Herlev University Hospital, Copenhagen. The patients were included from January 11, 2007, to June 6, 2011. Exclusion criteria were: age <18 years, pregnancy, moderate to severe

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Sze May Ng Department of Women’s and Children’s Health, Institute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom
Department of Paediatrics, Southport and Ormskirk NHS Trust, Ormskirk, United Kingdom

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Mark A. Turner Department of Women’s and Children’s Health, Institute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom

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Shivaram Avula Department of Radiology, Alder Hey Foundation Trust Hospital, Liverpool, United Kingdom

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pregnancy the maternal iodine supply may influence complex changes of maternal thyroid function, which may affect the neonatal thyroid gland [ 22 ]. In 1992, most European countries (with the exceptions of Switzerland, Austria, Great Britain, and most

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Juan J. Lence-Anta Institute of Oncology and Radiobiology, Havana, Cuba

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Constance Xhaard Radiation Epidemiology Group, 1018 INSERM Unit, Havana, Cuba
Institut Gustave Roussy, Havana, Cuba
University Paris-Sud, Villejuif, France

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Rosa M. Ortiz Institute of Oncology and Radiobiology, Havana, Cuba

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Haoiinda Kassim Radiation Epidemiology Group, 1018 INSERM Unit, Havana, Cuba
Institut Gustave Roussy, Havana, Cuba
University Paris-Sud, Villejuif, France

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Celia M. Pereda Institute of Oncology and Radiobiology, Havana, Cuba

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Silvia Turcios National Institute of Endocrinology, Havana, Cuba

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Milagros Velasco Institute of Oncology and Radiobiology, Havana, Cuba

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Mae Chappe Institute of Oncology and Radiobiology, Havana, Cuba

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Idalmis Infante Institute of Oncology and Radiobiology, Havana, Cuba

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Marlene Bustillo Institute of Oncology and Radiobiology, Havana, Cuba

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Anabel García Institute of Oncology and Radiobiology, Havana, Cuba

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Enora Clero Radiation Epidemiology Group, 1018 INSERM Unit, Havana, Cuba
Institut Gustave Roussy, Havana, Cuba
University Paris-Sud, Villejuif, France

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Stephane Maillard Radiation Epidemiology Group, 1018 INSERM Unit, Havana, Cuba
Institut Gustave Roussy, Havana, Cuba
University Paris-Sud, Villejuif, France

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Sirced Salazar Institute of Oncology and Radiobiology, Havana, Cuba

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Regla Rodriguez Cuban Health Public Ministry, Havana, Cuba

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Florent de Vathaire Radiation Epidemiology Group, 1018 INSERM Unit, Havana, Cuba
Institut Gustave Roussy, Havana, Cuba
University Paris-Sud, Villejuif, France

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adjusted OR, also adjusted for ethnic group, level of education, number of pregnancies, height (three categories for each gender) and BMI (three categories), and the corresponding 95% confidence interval (CI) were estimated. In this analysis, the results

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Simon H.S. Pearce Institute of Genetic Medicine, Newcastle University and Endocrine Unit, Royal Victoria Infirmary, Newcastle upon Tyne, UK;

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Mario Vaisman Department of Endocrinology, Faculdade de Medicina, UFRJ, Rio de Janeiro, Brazil;

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Jean-Louis Wemeau Clinique Endocrinologique Marc Linquette, CHU, Lille, France

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outcomes. For instance, several studies show an increased rate of early pregnancy loss in those with higher first trimester TSH values [ 36 , 37 , 38 ]. A randomized trial of levothyroxine treatment in euthyroid, but thyroid peroxidase antibody

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Estefanía Rinaldini Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Universidad Nacional de Cuyo, Mendoza, Argentina

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Fiorella Campo Verde Arboccó Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Universidad Nacional de Cuyo, Mendoza, Argentina

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Marcelo Ezquer Centro de Medicina Regenerativa, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile

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Carlos Gamarra-Luques Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Universidad Nacional de Cuyo, Mendoza, Argentina
Facultad de Ciencias Médicas, Instituto de Fisiología, Universidad Nacional de Cuyo, Mendoza, Argentina

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María Belén Hapon Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Universidad Nacional de Cuyo, Mendoza, Argentina
Facultad de Ciencias Exactas y Naturales, Universidad Nacional de Cuyo, Mendoza, Argentina

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Introduction Thyroid diseases cause menstrual disturbances, reduced fertility, recurrent pregnancy loss, perinatal mortality, and lactational deficit [ 1 , 2 ]. We have demonstrated that hypothyroidism delays the onset of parturition, reduces

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undiagnosed IDD, is tightly associated with an increased risk of mortality and coronary heart disease. Moreover, iodine deficiency during pregnancy and breast-feeding is widespread in Europe and adversely affects the development of the child. Even mild or

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Peter Laurberg Department of Endocrinology, Aalborg University Hospital, and Department of Clinical Medicine, Aalborg University, Aalborg, Denmark

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, Graves' disease and other autoimmune thyroid diseases predominately affect women. On the other hand, there is little sex difference in type 1 diabetes, and ankylosing spondylitis is mostly seen in men [ 13 ]. Similarly, pregnancy and the postpartum time

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Tanja Diana Molecular Thyroid Research Laboratory, Department of Medicine I, Johannes Gutenberg University (JGU) Medical Center, Mainz, Germany

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Christian Wüster Endocrine Laboratory Prof. Wüster, Mainz, Germany

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Paul D. Olivo Department of Microbiology, Washington University, St. Louis, Missouri, USA

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Angelica Unterrainer Molecular Thyroid Research Laboratory, Department of Medicine I, Johannes Gutenberg University (JGU) Medical Center, Mainz, Germany

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Jochem König Endocrine Laboratory Prof. Wüster, Mainz, Germany

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Michael Kanitz Molecular Thyroid Research Laboratory, Department of Medicine I, Johannes Gutenberg University (JGU) Medical Center, Mainz, Germany

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Artur Bossowski Department of Pediatrics, Endocrinology, and Diabetology, Medical University of Byalistok, Bialystok, Poland

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Brigitte Decallonne Division of Clinical and Experimental Endocrinology, UZ Leuven, Leuven, Belgium

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George J. Kahaly Molecular Thyroid Research Laboratory, Department of Medicine I, Johannes Gutenberg University (JGU) Medical Center, Mainz, Germany

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implications in the differential diagnosis of AITD, in predicting the outcome of GD after antithyroid drug treatment, in evaluating the risk of extrathyroidal manifestations of GD during pregnancy, and in predicting the likelihood of fetal/neonatal hyper- or

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Kristian Hillert Winther Department of Endocrinology and Metabolism, Odense University Hospital, Odense, Denmark

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Enrico Papini Department of Endocrinology and Metabolism, Ospedale Regina Apostolorum, Rome, Italy

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Roberto Attanasio Endocrine Unit, IRCCS Galeazzi Institute, Milan, Italy

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Roberto Negro Division of Endocrinology, V. Fazzi Hospital, Lecce, Italy

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Laszlo Hegedüs Department of Endocrinology and Metabolism, Odense University Hospital, Odense, Denmark

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hypothyroidism in pregnancy [ 23 ]. Thus, the minority of respondents recommending Se to pregnant patients with HT are not acting according to current guidelines, but the level of the evidence, i.e., a single robust trial, is similar in mild Graves’ orbitopathy

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