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L-carnitine is believed to work by altering insulin receptors and changing the expression of specific genes that regulate sugar metabolism
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Transmission cluster analysis Transmission clusters (TCs: include pairs and clusters 3) were identified in the ML tree using Cluster picker v1.2.3 100 with thresholds for bootstrap supports and genetic distances set at 90% and 4.5% respectively
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Collectively, these multifaceted interactions emphasize the critical roles played by gut microbiota in the etiology and progression of hypothyroidism, underscoring the therapeutic potential of targeted microbiota interventions, including probiotics, prebiotics, dietary adjustments, and lifestyle modifications, to restore microbiome equilibrium and mitigate hypothyroid pathology
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