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These changes have been associated with increased intestinal permeability, elevated systemic endotoxin levels, and immune dysregulation, all of which may contribute to the development and progression of thyroid dysfunction (Miquel et al., 2013

Patients need to know theres a small chance that youre not going to respond. Griebeler said he is also warning patients that it is normal to experience a plateau in weight loss after six to 12 months, as your metabolism begins to adjust

doi:10.1016/S0140-6736(05)66781-5 65

Gut microbiome support: In vitro studies show polyphenols increase Akkermansia populations, reinforcing gut barrier function