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10.1016/j.bbih.2020.100107 Brain Behav

Lets look at what can cause this imbalance between the TSH levels and the levels of the T3 and T4 hormones: Internal Causes: Pituitary Dysfunction: In rare cases, the pituitary gland, which produces TSH, may not be functioning correctly, leading to a dissociation between TSH and thyroid hormone levels

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PubMed , Environmental Research , vol

59 (12): 25372546 Snchez-Fidalgo S, Villegas I, Aparicio-Soto M, Crdeno A, Rosillo M, GonzlezBenjumea A, et al

Studies of erythrocyte glyoxalase II in various domestic species: discovery of glyoxalase II deficiency in the horse