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A foundational paper by Malinda et al
Typical urine screens detect metabolites from narcotics, stimulants, or alcohol, not complex amino-acid chains like peptides
Thyroid follicular cells themselves can aberrantly express MHC class II and co-stimulatory molecules (B7.1/CD80), enabling them to act as non-professional antigen-presenting cells (APCs) and amplify the autoimmune cascade
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