In other words, if you only employ replacement hormones,
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you will dauntedly fail since, in 90% of cases, the fundamental cause is an autoimmune attack on the thyroid gland, and thyroid replacement hormone has no effect on this immunological onslaught in any way.
You would expect that since the autoimmune mechanism is the most frequent cause of
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, it is frequently checked for. In practice, it is hardly ever checked. This is mostly because thyroid replacement hormones would still be the main form of treatment. Why do further tests if you won't change the course of treatment in response to the test results.