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NotebookLM was used to create Figure 1
[3] An editorial in Thyroid , written by Peter Andreas Kopp in 2014, found that patients remain symptomatic (that is, they may experience symptoms like fatigue) despite having normal thyroid hormone levels
The best test for figuring out if you are sensitive to gluten is doing an elimination diet , where you avoid gluten for two to three weeks, then try it again to see if you react to it
Monitoring as Metabolic Control Since many relevant metabolic perturbations remain subclinical, monitoring becomes a proactive control strategy rather than a purely diagnostic measure
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