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On the other hand, in a more recent study, the same authors of the prior RCT found that preoperative TPO-Ab levels did not appear to influence the odds ratio to obtain a clinically significant improvement in QoL, which might not fully support the hypothesis of autoimmunity being directly responsible for persistent symptoms in patients with euthyroid HT (56)

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Natural polymeric NPs such as chitosan, due to the presence of a cationic amine group, can electrostatically interact with bacterial negatively charged membrane lipid structure and increase the permeability by destabilizing phospholipids in the membrane

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