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These changes in thyroid hormone levels, collectively known as the sick euthyroid syndrome, represent an adaptive metabolic response aimed at conserving energy and limiting protein catabolism [35, 37]

East Afr Med J 1994: 71: 674675 Pelin Ustuner, Ali Balevi & Mustafa zdemir (2017) Best dilution of the best corticosteroid for intralesional injection in the treatment of localized alopecia areata in adults, Journal of Dermatological Treatment, 28:8, 753-761, DOI: 10.1080/09546634.2017.1329497 Author information Author: Dr Sajjad Rajpar Date last reviewed: 1 Sept 2020 Conflict of interest and disclaimer This information is based on the views of a UK Consultant Dermatologist (a doctor who is on the specialist register for Dermatology, the equivalent of which is Board certified in the USA)