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Protein has a higher thermic effect than carbohydrates or fats, meaning your body burns more calories processing it

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[5] As lymphocytic infiltration progresses, patients may exhibit signs of hypothyroidism in multiple bodily systems, including, but not limited to, a larger goiter, weight gain, cold intolerance, fatigue, myxedema, constipation, menstrual disturbances, pale or dry skin, and dry, brittle hair, depression, and ataxia

And then we may look intracellularly at some of these things that we also look at with mold disease or Chronic Inflammatory Response Syndrome (CIRS)

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Macrolide is the backbone