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This glucose-dependent mechanism ensures that insulin is secreted only when necessary, reducing the risk of hypoglycemia once blood sugar returns to normal

Yes, they are highly compatible

low T3/T4 reduces their activity *Elevated homocysteine - hypothyroidism raises homocysteine levels, which depletes glutathione and increases cardiovascular oxidative stress A study on thiol-disulfide and glutathione homeostasis in thyroid patients found that "oxidative stress remains a prevailing issue in patients with autoimmune or non-autoimmune hypothyroidism" - confirming that glutathione depletion is a consistent feature across the thyroid disease spectrum, not limited to autoimmune forms

Chaubet, Guilhem