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Kugelman, et al wisely stated, "Physicians should use their clinical judgment and experience even in the face of normal newborn thyroid screening test and reevaluate for hypothyroidism when there is a clinical suspicion." ( Kugelman 2009 ) Delayed passing of meconium, umbilical hernia, infrequent bowel movements, colic, abdominal distention and reflux should all be clues to the physician to investigate hypothyroidism and the root causes of hypothyroidism in any infant regardless of their genetics

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