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Moreover, disclose any existing medical conditions such as Leber's disease, liver problems, or kidney disorders to ensure the medication's safety and effectiveness for you

De Luca P, Scarpa A, De Bonis E, et al

Treatment The only effective treatment is oral T4 usually referred to as levothyroxine and occasionally thyroxine

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44-46 These findings have the following implications: patients with definitive DCM and concomitant B 12 deficiency require treatment for both conditions to optimize neurological recovery, but care should be taken for patients with mild cord compression and possible B 12 deficiency prior to surgical treatment, as cord compression may be a false positive finding and treatment with B 12 may resolve symptoms