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Radioactive iodine (RAI) treatment is used in patients with thyroid cancer to treat disease and to eradicate normal thyroid remnants. Routine post-operative administration of RAI is no longer indicated in patients with low risk thyroid cancer and might instead be used selectively in patients with a post-operative high serum level of thyroglobulin.
Adipocyte insulin resistance is a driving force for systemic insulin resistance. Advances in human stem cell culture have established conditions for human adipocytes that give rise to a reproducible population of adipocytes that retain a high level of insulin sensitivity, paving the way for high throughput screening approaches.
Diabetes mellitus or obesity during pregnancy can cause fetal hypoxia, resulting in reduced fetal growth. This Review discusses the metabolic causes of fetal hypoxia in pregnancies with diabetes mellitus and/or obesity and the fetal adaptations to this oxygen deficit.
Menopause can increase the risk of diabetes mellitus, while existing diabetes mellitus can cause early menopause. This Review discusses the interaction of diabetes mellitus and the menopause, including therapeutic management strategies for both conditions.
Rare monogenic obesity is caused by pathogenic variants in single genes, while common obesity mostly has a polygenic basis. This Review discusses genetic obesity traits, the emergence of novel pharmacological treatment options that target the central melanocortin pathway and future innovative therapies.
This Review outlines the occurrence of non-alcoholic fatty liver disease and non-alcoholic steatohepatitis (NASH) in patients who have undergone liver transplantation for prior NASH-related cirrhosis (recurrent) or other liver indications (de novo).
