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Modulating the gut microbiota through targeted interventions, including probiotics, prebiotics, synbiotics, and dietary strategies, offers a promising avenue to restore microbial homeostasis, attenuate systemic inflammation, and improve the clinical management of hypothyroid disorders

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A large proportion of reported cases of infection had a history of water exposure, 58% from swimming or diving, 16% from bathing, 10% from water sports such as jet skiing, water-skiing and wakeboarding and 9% from nasal irrigation