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[DOI] [PubMed] [Google Scholar] 25.Akesson B., Vinge E., Skerfving S

These include enhanced fatty acid oxidation, gluconeogenesis, inhibited propionate production from the microbiome, and increased protein breakdown due to the absence of food intake

However, it seems likely that the combination of decreased TPO production and splenic sequestration due to splenomegaly from portal hypertension are involved in the pathogenesis of TCP, rather than hypersplenism alone
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Antibiotic exposure in early life and childhood overweight and obesity: a systematic review and meta-analysis

Overall, vitamins D and B12 are essential for general health, and their deficiency can impact thyroid health specifically, due to the resulting immune system dysregulation, favoring organ-specific autoimmunity in predisposed subjects
