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While individual variation exists with any medication, this pattern warrants attention given the FDA concerns about compounded product consistency

Digestion Compromised digestion can be an underlying factor, especially of autoimmune thyroid disease such as Hashimotos Thyroiditis, due to the association with increased intestinal permeability (Leaky Gut). 8 This is often mediated by gluten, 9 imbalanced gut bacteria, 10 and stress, 11 which drives autoimmunity, especially if an individual is genetically susceptible. 12 If food is also poorly digested, say from eating on the go, and moves through the gut too fast due to diarrhoea, nutrient absorption becomes harder

In severe cases of dehydration, fainting or loss of consciousness can occur

You don't have to eliminate them

However, questions arise about their impact on muscle mass