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However, these results should be interpreted considering the studys limitations, including its retrospective design, the absence of a control group, and the potential for selection bias

Leaky gut and the liver: a role for bacterial translocation in nonalcoholic steatohepatitis

Practically, that means if youre taking levothyroxine, switch to Synthroid

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But it does mean the combination has never been studied to the standard that would put it on a label, so anyone considering it is operating without controlled evidence which is exactly why the decision belongs to a prescriber who knows your full medical history, not to an article

Merck Manual on Overview of Congenital Craniofacial Abnormalities