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These are usually manageable with dose adjustment and supportive measures

Sodium butyrate was administered orally to mice to cure depressive-like behaviors and to repair changes in gut barrier integrity and microbiota composition brought on by the drug paclitaxel(255)

Enterobacter aerogenes ZDY01 Attenuates Choline-Induced Trimethylamine N-Oxide Levels by Remodeling Gut Microbiota in Mice

Consider looking into medications that contain T3 (triiodothyronine) such as NDT (Armour Thyroid, WP thyroid, and Nature-Throid) These medications may be preferred in individuals who have thyroid conversion issues and in those who still remain symptomatic despite normal thyroid lab tests

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