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Patients with hypothyroidism have increased intestinal permeability and leaky gut phenomenon, which makes the metabolic products of bacteria such as LPS and bacterial fragments easily translocate into the circulatory system, thus activating innate immunity (Tomov et al., 2005)

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Compounded semaglutide: Some specialty pharmacies offer compounded versions at lower costs (though typically not covered by Anthem)

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Small intestinal bacterial overgrowth: Duodenal aspiration vs glucose breath test

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