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Patients diagnosed simultaneously with hyperthyroidism and azotaemic CKD should be treated medically for their hyperthyroidism with the lowest recommended dose initially, while monitoring their kidney function and general wellbeing

1 2 3 4 5 6 7 8 9 10 11 12 13 Lehninger principles of biochemistry (7th ed.)
doi: 10.47750/pnr.2023.14.S02.182

2.3.2 Psychiatric symptoms METH abuse disrupts the functionality of various brain regions, including the prefrontal cortex, nucleus accumbens, and thalamus, leading to significant psychiatric disturbances (Sekine et al., 2001)

The most practical takeaway is to keep expectations modest and decisions individualized
