For advanced stage 4 disease, a multidisciplinary approach is essential: extensive laparoscopic or robotic resection, collaboration with colorectal and urologic surgeons when bowel or ureters are involved, and postoperative hormonal therapy
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Medication provides thyroid hormone replacement, but does not correct the underlying issues that resulted in impaired hormone levels in the first place
Giustarini, D., Milzani, A., Dalle-Donne, I., Tsikas, D., & Rossi, R
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