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In Graves disease, where extrathyroidal manifestations are mediated by TSHR/IGF-1R-expressing fibroblasts, studies could test GLP-1RAs as adjuncts to antithyroid drugs or biologics (for example, alongside IGF-1R blockade for orbitopathy) to reduce systemic inflammation and metabolic drivers without compromising disease control [19,25,67]

Moreover, lack of CLDN15 in mice decreased sodium permeability [32]

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