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In my own practice, I see fatigue as the main impairment in my clients, even after thyroid hormone treatment improves their thyroid levels

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245 Sleep loss is known to activate the bodys stress signaling network, which can further aggravate sleep disruption

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(PubMed) van Dam DG, Beijers AJ, Vreugdenhil G

This information is educational and is not medical advice or a substitute for evaluation by a licensed provider