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La primera es endgena , es decir, el cuerpo es capaz de producirla

10.1016/j.phytochem.2004.05.010 Phytochemistry 76 XiaZ.WangM.XuZ

It also can result in common Hashimotos triggers, including food sensitivities (many with Hashimotos are sensitive to gluten, dairy, and/or soy) and less resistance to pathogenic invasions (which can further impact nutrient absorption, becoming a vicious cycle)

I suppose a better question is whether that prior determination should have happened at all