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Patients may increase fiber intake, consume more artificial sweeteners (particularly sugar alcohols), or dramatically reduce fat consumptionall of which can affect stool consistency

It is not a steroid, not a hormone, and not a growth hormone releasing peptide

In line with NICE guidance (NG145), consider further investigation or referral if TSH is persistently above 10 mU/L or below 0.1 mU/L, or if free T4 or free T3 levels are abnormal

This can occur suddenly and is typically accompanied by reflux or bloating

Kim, Y.-K., Kim, O