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The longer this immune response is in place, the more thyroid damage occurs and the greater the likelihood of the person progressing to hypothyroidism, where the thyroid gland becomes so damaged that it is no longer able to make enough thyroid hormone

doi: 10.1192/bjp.56.234.422 230 MiyaokaTKanayamaMWakeRHashiokaSHayashidaMNagahamaMet al