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High TSH and low T3 and T4 may suggest that your thyroid is not active enough and that it has gone from being overactive to underactive (hypothyroid)

Dry or rough texture
doi: 10.1016/j.tranon.2022.101469 219 AxelrodMLCookRSJohnsonDBBalkoJM

Energy supply and metabolic support Astrocytic mitochondria sustain neuronal energy demands through diverse metabolic pathways, delivering substrates such as glucose, lactate, fatty acids, amino acids, and ketone bodies [45]