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Its unclear if this risk applies to humans, but caution is advised, especially for those with a family history of thyroid cancer

The medicine isnt cloudy, discoloured, or has particles in it

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Hear Res 1999;128:40-4

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Indeed, not only does the exclusion of many cereals from the diet reduce the nutritional intake of trace elements, proteins, and fibers, but gluten-free bakery products, often consumed as substitutes, are usually enriched with additives, fats, and sugars to improve palatability and texture [150]