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doi: 10.7759/cureus.78541

Poor protein digestion is common in those with Hashimotos, due in part to the bodys metabolism slowing down (so even digestion happens less efficiently)

This may also cause joint pain and swelling

Moreover, tissue sensitivity to insulin is considerably reduced [12], and cellular prooxidantantioxidant homeostasis is also disturbed with enhanced susceptibility to oxidant-induced stress [13]

doi:10.1038/clpt.2010.184 Lyssenko V, Lupi R, Marchetti P et al (2007) Mechanisms by which common variants in the TCF7L2 gene increase risk of type 2 diabetes