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Figure 1 3.1 Autoimmune and inflammatory responses in GD increase the risk of depression GD is a common autoimmune disease in which excessive production of stimulatory autoantibodies disrupts critical physiological processes inside and outside the thyroid gland in GD, resulting in cellular and humoral immune disorders ( Cytokines play an important role in autoimmune responses and are often used as indicators to predict the occurrence and progression of diseases ( 3.1.1 Disrupting neurotransmitter metabolism Neurotransmitters are vital chemicals that transmit information between neurons or neurons and effectors

were able to show decreases in bilirubin, GGT, and ALP and improved coagulation profiles as well as decreased intrahepatic cholestasis in the treatment group [40]