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medRxiv PreprintsInternational2 November 2026

Residual Symptoms and Quality of Life in Female Patients with Hypothyroidism and Cardiovascular Disease

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Background Current clinical management of patients with hypothyroidism emphasizes thyroid hormone replacement at doses that normalize serum thyroid-stimulating hormone (TSH) levels. However, biochemical correction does not always translate into symptom resolution or restored health-related quality of life (QoL). We evaluated whether higher TSH levels within the reference range would be associated with worse Thyroid-Related Patient-Reported Outcome (ThyPRO)-39 scores, reflecting greater symptom burden. Objective The objective of this study was to assess residual symptoms and health-related qual
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