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ICVS/3B’s, PT Government Associate Laboratory, Braga/Guimarães, Portugal
Hospital de Braga, Braga, Portugal
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ICVS/3B’s, PT Government Associate Laboratory, Braga/Guimarães, Portugal
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ICVS/3B’s, PT Government Associate Laboratory, Braga/Guimarães, Portugal
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ICVS/3B’s, PT Government Associate Laboratory, Braga/Guimarães, Portugal
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ICVS/3B’s, PT Government Associate Laboratory, Braga/Guimarães, Portugal
ACMP5 – Associação Centro de Medicina P5 (P5), School of Medicine, University of Minho, Braga, Portugal
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ICVS/3B’s, PT Government Associate Laboratory, Braga/Guimarães, Portugal
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ICVS/3B’s, PT Government Associate Laboratory, Braga/Guimarães, Portugal
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Department of Internal Medicine, Erasmus MC, Rotterdam, the Netherlands
The Generation R Study Group, Erasmus MC, University Medical Center, Rotterdam, the Netherlands
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ICVS/3B’s, PT Government Associate Laboratory, Braga/Guimarães, Portugal
Clinical Academic Center-Braga (2CA-B), Braga, Portugal
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Introduction Iodine is an essential nutrient required for the biosynthesis of thyroid hormone. Thyroid hormone regulates growth and metabolism and is essential for proper fetal brain- and nervous system development ( 1 ). During pregnancy
Institute for Health Science Research Germans Trias i Pujol (IGTP), Badalona, Spain
Department of Medicine, Autonomous University of Barcelona, Badalona, Spain
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Department of Obstetrics & Gynecology, Germans Trias i Pujol University Hospital, Badalona, Spain
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Health Department, Centre d’Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Generalitat de Catalunya, Badalona, Spain
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Health Department, Centre d’Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Generalitat de Catalunya, Badalona, Spain
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Institute for Health Science Research Germans Trias i Pujol (IGTP), Badalona, Spain
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Institute for Health Science Research Germans Trias i Pujol (IGTP), Badalona, Spain
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Health Department, Centre d’Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Generalitat de Catalunya, Badalona, Spain
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Institute for Health Science Research Germans Trias i Pujol (IGTP), Badalona, Spain
Department of Medicine, Autonomous University of Barcelona, Badalona, Spain
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thyroid function ( 5 ), including changes in hormonal metabolism and iodine absorption, inducing a dynamic regulation of the hypothalamic–pituitary–thyroid axis throughout pregnancy. For this reason, the measurement of thyroid function in healthy pregnant
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including a larger number of women (by the use of individual-participant data meta-analysis), the inclusion of women with different backgrounds (and thus different iodine status and BMI levels), and adjustments made for other variables (hCG and iron reserve
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), nutritional factors (iodine and iron), high estradiol levels (ovarian stimulation), high hCG levels (twin pregnancies, during gestational weeks 9–13) and, finally, the variability in the TSH assays ( 1 , 2 , 3 , 4 , 5 , 6 ). In a number of studies, the
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resulting in different strategies between the American and European Thyroid Associations ( 4 ). It is thus all the more surprising that – apart from the effect of iodine intake on IH – there are very few reports on possible other determinants of IH during
Istituti Clinici Scientifici Maugeri IRCCS, Unit of Endocrinology and Metabolism, Laboratory for Endocrine Disruptors, Pavia (PV), Italy
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Istituti Clinici Scientifici Maugeri IRCCS, Unit of Endocrinology and Metabolism, Laboratory for Endocrine Disruptors, Pavia (PV), Italy
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Istituti Clinici Scientifici Maugeri IRCCS, Unit of Endocrinology and Metabolism, Laboratory for Endocrine Disruptors, Pavia (PV), Italy
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Istituti Clinici Scientifici Maugeri IRCCS, Unit of Endocrinology and Metabolism, Laboratory for Endocrine Disruptors, Pavia (PV), Italy
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, accounting for up to 20% of cases of chronic autoimmune thyroiditis ( 7 ), but also laboratory interferences ( 8 , 9 ) and the presence of TSH genetic variants ( 10 ) can explain this phenomenon. Not only moderate–severe iodine deficiency but also iodine
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Introduction While the prevalence of thyroid nodules during pregnancy in areas with mild to moderate iodine deficiency varies between 3 and 21% ( 1 , 2 ) and increases with increasing parity ( 3 ), data from areas with sufficient iodine
Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
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Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
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Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
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Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
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Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
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Department of Endocrinology, Aalborg University Hospital, Aalborg, Denmark
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Department of Endocrinology, Aalborg University Hospital, Aalborg, Denmark
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Department of Endocrinology, Aalborg University Hospital, Aalborg, Denmark
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Department of Endocrinology, Aalborg University Hospital, Aalborg, Denmark
Steno Diabetes Center North Jutland, Aalborg University Hospital, Aalborg, Denmark
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Department of Geriatrics, Aalborg University Hospital, Aalborg, Denmark
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of severe and untreated maternal hypothyroidism are evident from the historical description of cretinism in children born to mothers with hypothyroidism caused by severe iodine deficiency and are further supported by experimental findings ( 6
Department of Internal Medicine, Chung-Ang University Hospital, Seoul, Korea
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Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea
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Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea
Integrated Major in Innovative Medical Science, Seoul National University College of Medicine, Seoul, Korea
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Department of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology, Seoul National University, Seoul, Korea
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Department of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology, Seoul National University, Seoul, Korea
Department of Nuclear Medicine, Seoul National University College of Medicine, Seoul, Korea
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.80/5.60/6.40/4.60/5.10). Urine iodine concentration (UIC) was measured by the 7900 ICP-MS apparatus (Agilent Technologies,USA). Thyroid parenchymal heterogeneity was examined by two experienced endocrinologists. Total caloric and iodine intakes were estimated by a nutritionist
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The Rappaport Faculty of Medicine, Technion, Institute of Technology, Haifa, Israel
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/or thyroglobulin (Tg)) were positive, non-autoimmune hypothyroidism when thyroid antibodies were negative, CH, hypothyroidism post-surgery or post-radioactive iodine therapy, goiter, Graves’ disease, multinodular goiter and SCH. SCH was defined when TSH was above 2