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doi: 10.1136/gutjnl-2022-326928, 48

Heavy fatigue or a large heart-rate response indicates that the bridge has not settled

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Plasma ghrelin levels in humans rise 12 h before the onset of a meal and fall to trough levels 30 min after the end of the meal 18,19

This is further supported by studies showing elevated levels of IL-6 and TNF- in subclinical hypothyroidism patients, which are positively correlated with endothelial dysfunction and systemic inflammation [176]