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We know, for example, that [15] small intestinal bacterial overgrowth (SIBO) is commonly found with Hashimotos (a 2007 study found that about 50 percent of people with hypothyroidism have this infection), and is associated with slow gut motility and intestinal permeability

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J Mol Med 95(3):323333 James R, Kesturu G, Balian G, Chhabra A (2008) Tendon: biology, biomechanics, repair, growth factors, and evolving treatment options

A physician consultation is required to determine if this combination aligns with your health profile and goals