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While TSH concentration showed a dramatic significant decrease reaches to about 20% of the negative control concentration, we may conclude that the TSH level was decreased as a result of negative feedback inhibition mechanism

Casagrande, F

Gerwin Morris, Michael Maes, see citations 12 through 27 in "Myalgic encephalomyelitis/chronic fatigue syndrome and encephalomyelitis disseminata/multiple sclerosis show remarkable levels of similarity in phenomenology and neuroimmune characteristics" BMC Medicine, 17 September 2013 Miwa, K (July 2015)

Reducing dose or discontinuing use typically resolves these issues

Dapagliflozin Ameliorates Renal Tubular Ferroptosis in Diabetes via SLC40A1 Stabilization