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Efectos adversos graves: Reacciones alrgicas severas, hipertensin arterial, y alteraciones en la funcin heptica
The other two components here are worth a closer look

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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