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Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link) Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies Ideally ask GP for coeliac blood test first amymyersmd.com/2017/02/3-im

Lipotropic: Liver Health via Choline Choline deficiency alone causes hepatic steatosis (fatty liver disease)

This is will be determined on a case to case basis, depending on what ailments are being treated and what treatments are being used for therapy