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She ended up eating smaller portions and made lasting changes to her eating habits

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This chronic immune activation can cross-react with thyroid tissue through molecular mimicry, where proteins from gut bacteria or food resemble thyroid proteins

However, we know that alcohol-induced intestinal immune dysfunction, increased intestinal permeability, and gut dysbiosis result in the uncontrolled translocation of microbial products to the liver via the portal vein, resulting in pathogenic immune responses and hepatic inflammation [20, 167,168,169], which can contribute to ARLD pathogenesis [20]