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Subclinical hypothyroidism can be consistent with the above symptoms as well as a low basal body temperature (temp below 36.5 o C taken immediately upon waking, although this can also be affected by adrenal, immune and menstrual function) and the Achilles reflex test (slowed in hypothyroidism), as well as suboptimal blood results or auto-antibodies

Montuschi A, Iazzolino B, Calvo A, Moglia C, Lopiano L, Restagno G, Brunetti M, Ossola I, Lo Presti A, Cammarosano S, Canosa A, Chi A (2015) Cognitive correlates in amyotrophic lateral sclerosis: a population-based study in Italy

[Google Scholar] 42.Knetsch MLW, Koole LH

[DOI] [PMC free article] [PubMed] [Google Scholar] 44.Irvine N., England-Mason G., Field C.J., Dewey D., Aghajafari F