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The authors proposed low serum vitamin D to be significantly associated with autoimmune thyroid disease, but this was not an independent risk factor for the progression of the condition [72]

Many fragrance-free personal care and laundry products are easily available and provide safer alternatives;" and "Fragrance is not appropriate for a professional work environment, and the use of some products with fragrance may be detrimental to the health of workers with chemical sensitivities, allergies, asthma, and chronic headaches/migraines." [21] Common ingredients in synthetic fragrance are recognized as irritants for a range of respiratory conditions

Conclusion: Both 36-week SSR and 48-week SSR demonstrate similar efficacy in biochemical response and histological improvements with good safety, which support 36-week SSR as a preferable therapeutic choice