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It can also be helpful to speak with your doctor directly about other triggers

In hepatocellular carcinoma (HCC), CD137 expression identifies a subset of exhausted T cells with superior effector function and proliferation capacity

Alzheimers brains harbor somatic mtDNA control-region mutations that suppress mitochondrial transcription and replication

Furthermore, it promoted the dissemination of pS129--synuclein pathology to additional brain regions (striatum and cortex), accelerating PD-like pathogenesis 35

The current literature supports a biologically plausible connection through gut dysbiosis, barrier dysfunction, immune cross-reactivity, and epigenetic regulation, yet it does not justify treating gluten as a universal driver of thyroid autoimmunity