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Romanian journal of internal medicine = Revue roumaine de medecine interne

doi: 10.1136/jitc-2020-002285 45 RyzhakovGLaiCCBlazekKToKWHussellTUdalovaI

The missing link is often metabolic efficiency

conversely, myxoedematous (hypothyroid) cretinism, the less prevalent form, exhibits attenuated cognitive impairment, growth retardation, thyroid hypofunction, alongside diverse somatic manifestations including dry and coarse skin texture, hoarse vocalization, and delayed pubertal development [122,123,124,125]