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Pullulan is the next generation in encapsulation, derived from tapioca and processed with water

Clinicians should be aware that even if a hypothyroid patient is being treated with L-T4, a number of studies have found that giving selenium as well as L-T4 resulted in a greater reduction in TPO-antibodies, inflammatory cytokines and C-reactive protein ( Reference Krysiak and Okopien 104 , Reference Duntas, Mantzou and Koutras 105 )