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Recent evidence suggests that, even among hyperthyroid patients, maintaining an adequate dietary iodine intake improves therapeutic outcomes, enhancing response to treatment, reducing recurrence, increasing remission rates, and providing better control of thyrotoxicosis compared with inadequate or excessive iodine intake [40,41,42]

Sleep is equally relevant: testosterone is primarily produced during sleep, and research has found that even one week of sleeping five hours per night reduces testosterone levels by approximately 10 to 15% in young men, a reduction equivalent to ageing ten to fifteen years