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While the sum of measured bile acids was not increased in PBH versus asymptomatic participants in this cohort, the conjugated bile acid taurocholate was 2.5-fold higher in PBH in the fasting state, consistent with prior reports (9, 11), and several species tended to be higher in post-surgical participants

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This clinical reality has prompted interest in adjunctive therapies that might address both thyroid-related and metabolic aspects of the condition, though such approaches require careful evaluation and medical supervision

It does mean you have an option that is explicitly built with blood sugar control in mind, instead of loaded with sugar and then sold as a cheat. Always read the specific nutrition facts for the flavor you choose and follow your providers advice