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Deficiency or excess of Se, I, Zn, as well as Fe and Cu affects the synthesis of TG and can disrupt thyroid homeostasis (101)

Those with more acute symptoms often landed up spending many months in hospital being given a range of bland diets or milk drips

Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 60 (Supplement 2), S129-S134

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Tolerance development - Some individuals find that appetite suppression diminishes over time, requiring dose adjustments or additional strategies Maintenance is a separate challenge - Many people regain weight after discontinuing GLP-1 medications