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Notably, a systematic review focused on bacterial adhesion to titanium concluded that chemical modifications of surfaces which reduce bacteria-favorable attachment areas can interfere with biofilm formation more strongly than roughness alone, reinforcing a chemistry/energy-first interpretation for early colonization [148]

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The most common causes of hypothyroidism are: Hashimotos thyroiditis radioactive iodine treatment thyroid surgery radiation therapy medications iodine deficiency Less common causes include: pituitary disorders congenital disease pregnancy de Quervain thyroiditis What are the risk factors of hypothyroidism