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Variants near or overlapping genes such as MALAT1 , involved in gene regulation, SCYL1 , associated with intracellular trafficking, and LTBP3 , part of the TGF- signaling pathway on chromosome 11, along with DENND1A on chromosome 9, which is linked to hormonal regulation and vesicle-mediated transport, suggest mechanisms that jointly influence both disorders [57]

The second option is adding liothyronine (Cytomel) directly to your levothyroxine