It is believed to be due to autoimmune induced damage to the thyroid causing excess hormone release, and for this reason is not responsive to antithyroid drugs, KI or KCLO 4 , but does, if treatment is necessary, respond to prednisone(67)
Two of these are balanced by two negative charges on two of the four nitrogen atoms in the planar corrin ring, which is less symmetrical than the corrin ring in ferro-hemeproteins
This could be because providers arent knowledgeable about the protective benefits these drugs offer
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