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Cytosolic mtDNA activates the cGAS-STING axis, driving type I interferon responses and pro-inflammatory cytokine production, whereas extracellular or endolysosomal mtDNA stimulates toll-like receptor 9 (TLR9), leading to NF-κB dependent inflammatory transcriptional programs

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(In some cases, testing reverse T3 may also be helpful, although it’s not always necessary.) In the case that your T3 is low, or in the bottom part of the reference range, or if you’re still symptomatic with T4 medications alone, you may benefit from adding a T3-containing medication such as Cytomel (liothyronine) to your current medication regimen, or switching to a T4/T3 combination medication such as Armour Thyroid* or compounded T4/T3