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It is ok to wear multiple patches at a time

In a study involving 94 patients with HT, treatment with Jieyu-Xiaoying decoction (150 mL twice daily) plus selenium supplementation (200 g twice daily) for 12 weeks resulted in significant relief of clinical symptoms and a reduction in serum TSH, TPOAb, and TGAb levels, compared to selenium supplementation alone [62]

These features also favor a different clinical picture in each sex, as large-diameter tumors may cause symptoms secondary to the mass effect (1217)

PFS = progression-free survival

[DOI] [PMC free article] [PubMed] [Google Scholar] 142.Xu Y., Kiningham K.K., Devalaraja M.N., Yeh C.C., Majima H., Kasarskis E.J., St Clair D.K

Three pilots are published in humans (that I could find)
