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Beyond routine glucose and lipid panels, endocrine studies increasingly include microbiome profiling, bile-acid pools, and hepatokine/adipokine panels (FGF21, adiponectin) to explain shifts in substrate preference

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Discussion This is the first LC-MS/MS-based metabolic profiling report from Bangladesh analyzing carnitine-acylcarnitine metabolites in the blood of congenital hypothyroid patients receiving thyroid hormone replacement therapy