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A 2022 study in International Journal of Molecular Sciences found that BPC-157 reduced pro-inflammatory cytokines (e.g., TNF- and IL-6) while increasing anti-inflammatory cytokines (e.g., IL-10), creating a balanced immune response (Sikiric et al., 2022)

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Selenium deficiency has been recognized as an environmental trigger for Hashimotos, and most people with Hashimotos are at risk for this deficiency, which can manifest as increased anxiety , fatigue , and depression

In both cases it identifies the provider's clinical note as the document carrying the medical necessity argument