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Research has established an abnormal HO-1 expression among diabetic individuals, especially in those with complications like cardiovascular disease, neuropathy, nephropathy and diabetic foot ulcers [17, 18]

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The results showed that probiotic/prebiotic supplementation had no significant direct effect on TSH, free thyroxine and free triiodothyronine levels but significantly reduced thyrotrophin receptor antibody levels, revealing the potential value of probiotics and prebiotics in regulating autoimmune responses (Sanders et al., 2019)

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