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and Monitoring Board provided oversight. OBJECTIVE To determine whether overt/subclinical hypothyroidism and/or thyroid autoimmunity is associated with recurrent pregnancy loss (RPL) and whether treatment improves outcomes. DESIGN Systematic review and meta-analysis. SETTING University obstetrics and gynecology departments. PATIENT(S) Women with RPL and overt/subclinical hypothyroidism, and/or thyroid autoimmunity. INTERVENTION(S) None. MAIN OUTCOME MEASURE(S) Associations between RPL and overt/subclinical hypothyroidism and/or thyro