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Also, I was not seeing a high level of change in my shoulder pain & movement

Ammonium accumulation enhances the cellular antioxidant capacity by activating a series of enzymes and pathways, such as glutamine synthetase, leading to the production of antioxidant compounds such as GSH

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Key markers include thyroid antibodies (TPOAb, TgAb), inflammatory markers (hs-CRP, ESR), and a full thyroid panel