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After reviewing literature and conducting a two-round Delphi survey with 42 experts, a consensus emerged that emphasizes prioritizing clinical symptoms in diagnosis, with serum B12 as a screening marker supported by methylmalonic acid or homocysteine levels for additional confirmation

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The response is highly individual and short-lived during and after meals

Singal A, Ong MM, Neubauer Z, Lipner SR

Horm Metab Res 50(12):837839 Bao Y, Kim D, Cho YH, Ku CR, Yoon JS, Lee EJ (2023) Cre-loxp system-based mouse model for investigating Graves disease and associated orbitopathy