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10.1038/cr.2009.76 71 LiX.WuL.FanX.ZhangB.GaoX.WangY.et al (2011)

Its an autoimmune disease in which the immune system produces antibodies that attack the thyroid, causing fibrosis or scarring of the thyroid tissue ( Hashimotos disease is associated with a variety of symptoms, including weight gain, fatigue, hair loss, anemia, constipation, cold intolerance, joint pain, dry skin, mood changes, difficulty concentrating, and more ( In addition to medication, diet and lifestyle modification can help reduce thyroid damage and improve symptoms and overall quality of life in people with Hashimotos

But I look to my relatives, most of whom struggle with weight and chronic health problems, and see my not-so-distant future