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Classical HT can be observed in 20% of thyroid patients diagnosed after birth

The intestinal microbiota metabolically modifies bile acids through diverse pathways, specifically involving the following mechanisms ( Firmicutes (Bacillota) , Bacteroidetes (Bacteroidota) , Actinobacteria , Proteobacteria (Pseudomonadota) , and archaea , hydrolyzes conjugated bile acids into free bile acids ( Clostridium species, convert primary bile acids into secondary bile acids, such as deoxycholic acid (DCA) and lithocholic acid (LCA), via 7/-dehydroxylase activity (104)

P = 0.0.28

Normally they are in powder form in vials or tube