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The primary thyroid condition that affects thyroid functionality presents as hyperthyroidism or hypothyroidism ( Figure 1 .)

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A recent meta-analysis suggested that Se supplementation could lower TSH and TPOAb levels, but only in patients with HT not treated with levothyroxine [82], reassessing the role of selenium in the management of patients with chronic thyroid disease [83]

Adverse effects of CoQ10 supplementation are uncommon and mainly involve the digestive system