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Albrecht et al that federal preemption questions are questions of law, not fact

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Nature 514 , 181186 (2014)

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On the one hand, the dysbiosis of intestinal microbiota leads to the damage of the gut barrier, and then bacterial translocation, which destroys the immune tolerance in thyroid autoimmunity through a series of mechanisms, including molecular simulation, bystander activation, and epitope spreading [12]

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