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Stress can be a factor with Graves in a few different ways, including causing dysregulation of the immune system, an increase in pro-inflammatory cytokines (a factor with all autoimmune conditions), and a decrease in secretory IgA, which serves as a form of protection (it lines the mucosal surfaces of the gastrointestinal tract, forming a barrier of sorts)

If youre not using pharma-grade oral delivery, you better inject it

Clear explanation of risks : Any doctor proposing an off-label procedure has an ethical obligation to discuss all known risks, including those described in the section above

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Expose the top of the arm (fig