The physiological changes of pregnancy and the presence of the second patient, the fetus, mean that the management of thyroid disease in pregnancy is not the same as outside pregnancy. These adaptations and differences in management will be discussed.
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West Middlesex University Hospital, Twickenham Road, Isleworth, Middlesex, TW7 6AF, UK
f1 Correspondence to: JCG. Tel.: 020 8565 5114; Fax: 020 8565 5428; E-mail: joanna.girling@wmuh-tr.nthames.nhs.uk
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