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In another RCT enrolling 80 HT patients, Jianpi-Xiaoying decoction (200 mL twice daily for 12 weeks) was more effective compared to selenium supplementation (100 g twice daily for 12 weeks) at reducing TPOAb and TGAb titers, serum levels of immune factors (IFN-, IL-4, IL-4/IFN-), and thyroid elasticity

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Moreover, it also reduces ALA competition with other nutrients for absorption [91]

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