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Shirleys neck appeared full because she had an enlarged thyroid gland (goiter). If Shirley had hypothyroidism, why was her thyroid gland enlarged? Shirley is receiving

Shirleys neck appeared full because she had an enlarged thyroid gland (goiter). If Shirley had hypothyroidism, why was her thyroid gland enlarged?

Shirley is receiving hormone replacement therapy in the form of synthetic T4. How does her body process this T4? How is synthetic T4 expected to ameliorate her symptoms?

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