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Cite this paper as: Zihni İ, Soysal V, Uslu A, Zengel B, Okut G, Aykas A, et al. Development of metabolic syndrome after bilateral total thyroidectomy despite the l-t4 replacement therapy: A prospective study. Turk J Surg 2018; 10.5152/turkjsurg.2018.3746.