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(77) This finding suggests that breastfeeding and exposure to environmental microbes (discussed next) work synergistically to modulate the developing immune system, whereas microbial exposure without concomitant breastfeeding may overwhelm the immune system

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Monitor for signs of thyroid imbalance: unusual fatigue, cold intolerance, or weight plateau (possible underdosing) versus anxiety, heat sensitivity, or rapid heartbeat (possible overdosing)

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