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It is a self-reinforcing cycle that perpetuates both the gut damage and the autoimmune response against the thyroid

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Statements Data availability statement The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding authors

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[2] [5] NICE guidance emphasises that pharmacological interventions like Mounjaro should be integrated within a comprehensive approach that includes dietary modification, increased physical activity, and behavioural support