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Of patients infected with H7N9, 70.6% presented abnormally low total T 3 levels, 58.8% had low free T 3 and TSH levels and 29.4% had abnormally low total and free T 4 levels (below the lower limit of the reference ranges for each hormone) (91)

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When to reassess If GI symptoms worsen instead of improving over the first 2-3 weeks of a step, if dysesthesia appears suddenly, or if you cannot keep food down, pause and consult a qualified clinician