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doi: 10.1016/J.JHAZMAT.2023.132927 113

Additionally, NAD + is required for fatty acid metabolism during -oxidation, glutaminolysis generating -ketoglutarate, mitochondrial shuttling of metabolites, and lactic acid fermentation 3,4,5

In addition to dietary, infectious, and chemical exposures, certain medical treatments can act as environmental triggers for thyroid autoimmunity

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