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In general, after 18 months all the phases of the thyroiditis are usually complete. At this point, the patient typically returns either to the euthyroid phase (normal thyroid function) or permanent hypothyroidism persists, requiring lifelong treatment with levothyroxine. If this is the case, the thyroxine dose may need to be adjusted over a period of time. Once a stable dose has been established, the patient usually has an annual follow-up.
If the patient follows the prescribed treatment on a daily basis, they will remain free of the secondary symptoms of hypothyroidism and their quality of life and longevity will not be affected.