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In recent years, the term painless thyroiditis also has been used frequently, and the same disorder has been described using different names, such as thyrotoxicosis with painless thyroiditis(60), occult subacute thyroiditis(61), hyperthyroiditis(64), lymphocytic thyroiditis with spontaneously resolving hyperthyroidism(62), painless thyroiditis and transient hyperthyroidism without goiter(63), and transient hyperthyroidism with lymphocytic thyroiditis(65)

Symptoms may recur temporarily after dose increases and usually respond to hydration, gradual fiber titration, and dose pacing

Contraindications include Leber's optic neuropathy and certain hematologic conditions

Higher corrosiveness causes metal ions to leach into water

Many cases required hospitalization