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What surprises many patients is how easy it is to not be in a deficit even when eating less

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[6] [7] Hypothyroidism is a condition where the thyroid gland produces insufficient thyroid hormonesprimarily thyroxine (T4) and triiodothyronine (T3)

In addition, reported outcomes are contextualized according to their nature, whether subjective (e.g., sleep quality, self-reported symptoms), physiological (e.g., circadian phase markers, metabolic parameters), or biochemical (e.g., oxidative stress markers, inflammatory mediators)