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Decreasing incidence of thyrotoxicosis in an endemic goitre inland area of Sweden

Dysbiosis has been linked to altered thyroid hormone metabolism, increased intestinal permeability, and heightened systemic inflammation (279)

Jun DW, Kim BI, Cho YK, Kim HJ, Kwon YO, Park SY, Han SY, Baek YH, Jung YJ, Kim HY, Kim W, Heo J, Woo HY, Hwang SG, Rim KS, Choi JY, Bae SH, Lee YS, Lim YS,Cheong JY, Cho SW, Lee BS, Kim SH, Sohn JH, Kim TY, Paik YH, Kim JK, Lee KS

Impurities, such as bacterial endotoxins, can provoke inflammatory responses that may skew experimental results