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Since thyroid hormones determine our metabolism throughout the entire body, including the digestive tract, a lack of sufficient thyroid hormones makes nutrient extraction more difficult and less efficient, leading to nutrient deficiencies

If levels don't respond to standard supplementation, investigate possible MTHFR polymorphisms, malabsorption conditions like celiac or Crohn's disease, or potential medication interactions

Shock 36 , 1217 (2011)
