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

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Dear Sir, The results of the long awaited Antenatal Thyroid Screening and Childhood Cognitive Function study have finally been published in the New England Journal of Medicine after a preliminary presentation of findings at the

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Luba Freja Michaelsson Department of Endocrinology, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark

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Jeppe Lerche  la Cour Department of Endocrinology, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark

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Bjarke Borregaard Medici Department of Endocrinology, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark

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Torquil Watt Department of Endocrinology, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark

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Jens Faber Department of Endocrinology, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark
Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark

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Birte Nygaard Department of Endocrinology, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark
Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark

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. Secondary outcomes included impacts on heart rate, body composition, and cognitive function. Clinical Parameters QoL was measured by an online version of ThyPRO-39 [ 9 - 12 ]. The questionnaire was answered at home before each visit and 12 months

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Ángel García-Aldea Instituto de Investigaciones Biomédicas Sols-Morreale, Consejo Superior de Investigaciones Científicas (CSIC)-Universidad Autónoma de Madrid (UAM), Madrid, Spain

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Marina Guillén-Yunta Instituto de Investigaciones Biomédicas Sols-Morreale, Consejo Superior de Investigaciones Científicas (CSIC)-Universidad Autónoma de Madrid (UAM), Madrid, Spain

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Víctor Valcárcel-Hernández Instituto de Investigaciones Biomédicas Sols-Morreale, Consejo Superior de Investigaciones Científicas (CSIC)-Universidad Autónoma de Madrid (UAM), Madrid, Spain

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Ana Montero-Pedrazuela Instituto de Investigaciones Biomédicas Sols-Morreale, Consejo Superior de Investigaciones Científicas (CSIC)-Universidad Autónoma de Madrid (UAM), Madrid, Spain

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Ana Guadaño-Ferraz Instituto de Investigaciones Biomédicas Sols-Morreale, Consejo Superior de Investigaciones Científicas (CSIC)-Universidad Autónoma de Madrid (UAM), Madrid, Spain

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Soledad Bárez-López Instituto de Investigaciones Biomédicas Sols-Morreale, Consejo Superior de Investigaciones Científicas (CSIC)-Universidad Autónoma de Madrid (UAM), Madrid, Spain

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Introduction Thyroid hormones (THs), T3 (3,5,3′-triiodo- l -thyronine), and T4 (3,5,3′,5′-tetraiodo- l -thyronine) are essential for the correct development and functioning of most organs. The thyroid gland mostly secretes T4, which is

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Birgitta Johansson Department of Clinical Neuroscience, Sahlgrenska Academy, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden
Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden

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Mats Holmberg ANOVA, Karolinska University Hospital, Norra Stationsgatan 69, Stockholm, Sweden
Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
Wallenberg’s Centre of Molecular and Translational Medicine, Region Västra Götaland, Sweden

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Simon Skau Department of Clinical Neuroscience, Sahlgrenska Academy, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden
Department of Pedagogical, Curricular and Professional Studies, Faculty of Education, University of Gothenburg, Gothenburg, Sweden

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Helge Malmgren Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

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Helena Filipsson Nyström Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
Wallenberg’s Centre of Molecular and Translational Medicine, Region Västra Götaland, Sweden
Department of Endocrinology, Sahlgrenska University Hospital, Gothenburg, Sweden

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considered separately as the treatment options differ depending on the condition. The aim of this study was to assess mental fatigue, depression, anxiety, and cognitive function in GD patients in the hyperthyroid phase and after 15 months of treatment, with

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Anna Göbel Departments of Neurology, University of Lübeck, Lübeck, Germany

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Marcus Heldmann Departments of Neurology, University of Lübeck, Lübeck, Germany

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Martin Göttlich Departments of Neurology, University of Lübeck, Lübeck, Germany

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Anna-Luise Dirk Departments of Internal Medicine I, University of Lübeck, Lübeck, Germany

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Georg Brabant Departments of Internal Medicine I, University of Lübeck, Lübeck, Germany

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Thomas F. Münte Departments of Neurology, University of Lübeck, Lübeck, Germany

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of autoimmune disease on the brain, have to be considered. It is therefore desirable to analyze the influence of an excess of thyroid hormones on brain morphology and cognitive functions in an experimental setting. Such studies have been performed

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Petros Perros Department of Endocrinology, Royal Victoria Infirmary, Newcastle upon Tyne, UK

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, Dhaliwal SS, Chew GT, Bhagat MC, Cussons AJ: Combined thyroxine/liothyronine treatment does not improve well-being, quality of life, or cognitive function compared to thyroxine alone: a randomized controlled trial in patients with primary hypothyroidism. J

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Stine Linding Andersen Department of Clinical Biochemistry, Aalborg University Hospital, Aalborg, Denmark

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Stig Andersen Department of Geriatrics, Aalborg University Hospital, Aalborg, Denmark
Department of Clinical Medicine, Aalborg University, Aalborg, Denmark

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-0548 27879326 0804-4643 39 Lazarus JH , Bestwick JP , Channon S , Paradice R , Maina A , Rees R , et al. Antenatal thyroid screening and childhood cognitive function . N Engl J Med . 2012 Feb ; 366 ( 6 ): 493 – 501 . 10.1056/NEJMoa

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Simon P. Mooijaart Institute for Evidence-Based Medicine in Old Age/IEMO, Leiden, The Netherlands
Department of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, The Netherlands

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hypothyroidism. The primary endpoints of the trial include a combined cardiovascular endpoint and thyroid-specific quality of life. Secondary endpoints include overall mortality, quality of life, functional capacity, and cognitive function. Analyses of this trial

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Colin M. Dayan Cardiff University School of Medicine, Heath Park, Cardiff, UK

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Vijay Panicker Department of Endocrinology, Sir Charles Gairdner Hospital, Nedlands, W.A., Australia

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-0414 16804044 30 Wekking EM, Appelhof BC, Fliers E, Schene AH, Huyser J, Tijssen JG, Wiersinga WM: Cognitive functioning and well-being in euthyroid patients on thyroxine replacement therapy for primary hypothyroidism. Eur J Endocrinol 2005

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Louise Knøsgaard Department of Clinical Biochemistry, Aalborg University Hospital, Aalborg, Denmark
Department of Clinical Medicine, Aalborg University, Aalborg, Denmark

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Stig Andersen Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
Department of Geriatrics, Aalborg University Hospital, Aalborg, Denmark

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Annebirthe Bo Hansen Department of Clinical Biochemistry, Aalborg University Hospital, Aalborg, Denmark

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Peter Vestergaard Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
Department of Endocrinology, Aalborg University Hospital, Aalborg, Denmark
Steno Diabetes Center North Jutland, Aalborg University Hospital, Aalborg, Denmark

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Stine Linding Andersen Department of Clinical Biochemistry, Aalborg University Hospital, Aalborg, Denmark
Department of Clinical Medicine, Aalborg University, Aalborg, Denmark

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Channon S Paradice R Maina A Rees R Chiusano E John R Guaraldo V George LM Antenatal thyroid screening and childhood cognitive function . New England Journal of Medicine 2012 366 493 – 501 . ( https://doi.org/10.1056/NEJMoa1106104 ) 24

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