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Selenium deficiency as a possible factor in the pathogenesis of myxoedematous endemic cretinism

Rare risks include acute pancreatitis and gallbladder disease (Seo YG, J Obes Metab Syndr 2021;30(1):1219)

According to NICE guideline NG193 (Chronic pain in over 16s), diagnosis is clinical and based on widespread pain lasting more than three months, along with associated symptoms