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Finally, various triggers have been linked to thyroid autoimmunity, including prior infections, hepatitis C virus, chronic stress, pregnancy, tobacco and alcohol use, certain medications, and alterations in the intestinal microbiota (Wroska et al., 2024)

It binds to GLP-1 receptorsG proteincoupled receptors widely distributed in pancreatic -cells, gastrointestinal smooth muscle, the central nervous system, heart, kidney, adipose tissue, and reproductive organs

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Certain Medications Long-term use of medications such as metformin (for diabetes) and proton pump inhibitors or antacids (for acid reflux) can interfere with vitamin B12 absorption over time
Weakness: Weakened grip strength is another common symptom, impacting day-to-day activities and athletic performance

Science 333 , 233238 (2011)
