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For patients with complex chronic illnesses who often already suffer from irritable bowel syndrome (IBS), mast cell activation syndrome (MCAS), or general gut sensitivity, this laxative effect is entirely counterproductive and can lead to further dehydration and electrolyte imbalance

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TSH, fT3, fT4, and TSHreceptor antibodies (TRAb) levels were evaluated every two months for up to 24 months or until spontaneous remission or definitive therapy