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Reid, D.T., McDonald, B., Khalidc, T., Vo, T., Schenck, L.P., Surette, M.G., Beck, P.L., Reimer, R.A

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Reversal of abnormal CD4+ T cell metabolism alleviates thyroiditis by deactivating the mTOR/HIF1a/glycolysis pathway, Front

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Other contributing mechanisms involve oxidative stress linked to dysregulated SIRT-1 signaling, ER stress, ferroptosis, impaired autophagic processes, and heightened inflammation via NF-B activation and NLRP3 inflammasome engagement[75]