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Nutritional Interventions: Hypothyroid patients may benefit from specific dietary approaches: Caloric deficit : Modest reduction of 500-750 calories daily, targeting 1-2 pounds weekly weight loss Protein optimization : 1.2-1.6 g/kg body weight to preserve lean mass during weight loss (adjust for patients with chronic kidney disease under medical supervision) Anti-inflammatory diet : Mediterranean-style eating patterns may benefit patients with autoimmune thyroiditis Micronutrient attention : Adequate iodine intake (RDA 150 mcg/day