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Researchers in Poland found that up to 50 percent of patients with Hashimotos have an impaired tolerance to refined or simple carbohydrates, like processed sugar or refined grains that have had the nutrients removed

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[21] Patients with a history of pancreatitis, severe gastrointestinal conditions, or significant renal impairment would require careful individual clinical assessment before any future prescribing consideration, in line with the relevant UK SmPCs