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. 2019 Jan 16;104(6):2216–2228. doi: 10.1210/jc.2018-02289

Table 9.

Thyroid Phenotypes and Growth Factors in Patients With Extreme Insulin Resistance

INSR, Homozygous INSR, Heterozygous Lipodystrophy
Insulin resistance Nonselective Nonselective Selective
IGF-1 Normal Normal
Fasting insulin ↑↑↑ ↑↑
Thyroid functional status Euthyroid Euthyroid Euthyroid
Thyroid size Enlarged Normal Normal
Risk for thyroid nodules Probably increased Probably increased Probably increased
Risk of thyroid cancer Unknown Unknown Unknown