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But because your thyroid looks so similar, it starts attacking your thyroid, too

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doi: 10.1016/j.biopsych.2018.08.018 138 RohlederN

Along with the presence of high- and low-abundant microbes, the maintenance of the intestinal epithelial barrier is further maintained by critical players, including immune cells (mononuclear macrophages, T-cells, and innate lymphoid cells), enteric glial cells (EGCs), and the intrinsic/extrinsic enteric-associated-neurons (iEANs/eEANs) of the ENS (Muller et al., 2020b)

Instead of blocking specific immune pathways or depleting certain cell populations, tolerogenic strategies attempt to restore the fundamental regulatory mechanisms that prevent autoimmunity in the first place