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According to NICE guidance, management primarily involves lifelong thyroid hormone replacement therapy with levothyroxine, which restores normal thyroid hormone levels and alleviates symptoms

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Missing occasional doses should not significantly impact results

Revisional Procedures (TORe & ESR): Non-surgical options for patients who have regained weight after a prior gastric bypass ( TORe Transoral Outlet Reduction) or a stretched gastric sleeve ( ESR Endoscopic Sleeve Revision)

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