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Codon 877 mutation in the androgen receptor gene in advanced prostate cancer: relation to antiandrogen withdrawal syndrome

When selenium is low, this conversion gets less efficient and you can end up with hypothyroid-like symptoms even when your thyroid is otherwise working normally
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Establish clinical governance and oversight As your provider count grows, you need formal governance: a Medical Director or Chief Medical Officer, peer review, quality assurance, standardized prescribing protocols, and clear clinical escalation paths
