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Several drugs including dopamine antagonists, selective serotonin reuptake inhibitors, tricyclic antidepressants, and high-dose estrogen therapy cause hyperprolactinemia and should be discontinued if possible in this situation

These results indicate that the antidiabetic effects of Spirulina may vary depending on factors such as patient characteristics, treatment duration, and administered dose (66, 67)

Vitamin B-12 deficiency can occur after GI or pancreatic disease

6 Practical implementation and clinical integration The translation of plant-based nutritional strategies into routine thyroid care requires more than theoretical plausibility or isolated clinical trials