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I think this all answers most of the questions and comments that followed my previous B12 article, but if you have more send them along

Patients should be educated about potential symptoms of thyroid tumors, including persistent hoarseness, difficulty swallowing, or a neck mass, though these symptoms are rare and may have many other causes

The mentionable merit is MR design, which enhanced causal inference through decreasing reverse causation and residual confounding

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