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Clinicians who recognize the symptom pattern of undiagnosed hypothyroidism, particularly swelling of the small joints of the hands and feet, fatigue, cold intolerance, and carpal tunnel without a mechanical explanation, provide real value to their patients

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Consume soft, cold foods like yoghurt and mashed potatoes

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doi: 10.1016/j.jff.2022.105231 Summary Keywords gastroesophageal reflux disease, microbiome, microbial dysbiosis, inflammation, barrier, motility Citation Guan Y, Cheng H, Zhang N, Cai Y, Zhang Q, Jiang X, Wang A, Zeng H and Jia B (2025) The role of the esophageal and intestinal microbiome in gastroesophageal reflux disease: past, present, and future