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Proinflammatory cytokines alter the expression of immune-related molecules on the surface of thyroid cells, such as the upregulation of major histocompatibility complex (MHC) molecules, making thyroid cells more likely to be recognized by the immune system and attacked by immune cells (Yan et al., 2024)

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Additionally, Candida consumes significant quantities of B vitamins particularly B1 (thiamine), B6 (pyridoxine), and B12 that are essential cofactors for serotonin, dopamine, and GABA synthesis