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doi: 10.1056/NEJMoa1603827

For instance, the development of autoimmune diseases is stimulated by iodine (excess or deficiency), smoking, stress, and chemical contaminants (like polyaromatic hydrocarbons), medicine (like amiodarone and interferon-alpha (IFN), and bacterial and viral infections (like hepatitis C virus and Yersinia enterocolitica)

Additional Ingredient information: Choline supports the health of the liver in its processing and excretion of chemical waste products within the body