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Desiccated Thyroid (n = 435) Synthetic Levothyroxine (n = 435) P Value Age, y (mean, 95% CI) 63.4 (12.68) 63.4 (12.68) Matched Female No. (%) 392 (90.1) 392 (90.1) Matched Race, No. (%) Matched Non-Hispanic White 363 (83.4) 363 (83.4) Matched Non-Hispanic Black 5 (1.1) 5 (1.1) Hispanic 22 (5.1) 22 (5.1) Other 45 (10.3) 45 (10.3) TSH (mean, 95% CI) 2.4 (0.18) 3.4 (0.27) 0.001 BMI (kg/m2) (mean, 95% CI) 27.55 (5.94) 28.62 (6.64) 0.032 Systolic BP (mmHg) (mean, 95% CI) 127.31 (16.28) 126.98 (16.09) 0.772 Diastolic BP (mmHg) (mean, 95% CI) 74.61 (8.59) 75.14 (8.07) 0.366 HgbA1c (mean, 95% CI) 6.67 (0.94) 7.18 (1.30) 0.041 Random glucose (mg/dL) (mean, 95% CI) 97.36 (20.52) 97.51 (25.56) 0.961 Comorbidities, No. (%) Hypertension 135 (31.0) 150 (34.5) 0.312 Myocardial infarction < 6 < 6 0.722 Diabetes mellitus 37 (8.5) 46 (10.6) 0.356 Heart failure 8 (1.8) 10 (2.3) 0.812 Atrial fibrillation 12 (2.8) 11 (2.5) 1 Cholesterol (mg/dL) (mean, 95% CI) High density lipoprotein 60.62 (17.55) 59.97 (16.81) 0.715 Low density lipoprotein 114.14 (31.91) 115.77 (34.92) 0.64 Triglycerides 141.42 (82.22) 147.05 (74.20) 0.489 Total cholesterol 201.98 (35.41) 204.74 (39.44) 0.479 Results Percent of TSH values in range, (mean, 95% CI) 79.3 (76.6-82.1) 79.1 (76.4-81.7) 0.905 Visit-to-visit TSH, (SD of TSH) 1.44 (1.33-1.54) 1.25 (1.15-1.36) 0.015 Percent of patients with 100% of TSH values in range, (mean, 95% CI) 60.0 (55.8-64.1) 59.8 (55.7-63.9) 0.951 Number of TSH laboratories obtained per patient over the 3-year study period (mean, IQR) 3 (3-5) 4 (3-5) 0.578 BMI = body mass index; BP = blood pressure; HgbA1c = glycosylated hemoglobin; IQR = interquartile range; TSH = thyroid stimulating hormone.