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Studies have shown that thyroid autoimmunity is influenced by genetic variations in adhesion molecules (CD14, CD40), cytokines and their receptors, self-antigens, apoptosis-related gene products, and the promoter region of selenoprotein S (Klubo-Gwiezdzinska And Wartofsky 2022)

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Shungus last NIH funded (2013-2017) grant examined oxidative stress levels in the blood, urine and cerebral spinal fluid and determined if increased levels were synonymous with increased symptoms and reduced functionality

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Bleeding disorders: It may slow the ability of , which can worsen bleeding problems

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