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Gut-Thyroid Axis and Microbiome Modulation The gut microbiome plays a critical role in shaping systemic immune responses, and alterations in microbial composition have been implicated in the development of AITD [40,41]

Funding This study was supported by Coordenao de Aperfeioamento de Pessoal de Nvel Superior (CAPES) and Pr-reitoria de Pesquisa (PROPESQ) of Universidade Federal do Rio Grande do Sul (UFRGS), Brazil

These treatments are not appropriate for all patients and may be contraindicated in individuals with certain medical conditions including hormone-sensitive cancers, blood clotting disorders, severe liver disease, or cardiovascular conditions

This further puts patients at risk for loss of appetite and insufficient nutritional intake
