{"id":"https://openalex.org/W4313488353","doi":"https://doi.org/10.1080/27697061.2022.2159570","title":"The Effects of the Paleo Diet on Autoimmune Thyroid Disease: A Mixed Methods Review","display_name":"The Effects of the Paleo Diet on Autoimmune Thyroid Disease: A Mixed Methods Review","publication_year":2023,"publication_date":"2023-01-04","ids":{"openalex":"https://openalex.org/W4313488353","doi":"https://doi.org/10.1080/27697061.2022.2159570","pmid":"https://pubmed.ncbi.nlm.nih.gov/36598468"},"language":"en","primary_location":{"id":"doi:10.1080/27697061.2022.2159570","doi":"https://doi.org/10.1080/27697061.2022.2159570","is_oa":false,"landing_page_url":"https://doi.org/10.1080/27697061.2022.2159570","pdf_url":null,"source":{"id":"https://openalex.org/S4210233975","display_name":"Journal of the American Nutrition Association","issn_l":"2769-7061","issn":["2769-7061","2769-707X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","ki-jl-1","medline","norway-1","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Nutrition Association","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5046686945","display_name":"Jasmine Hollywood","orcid":"https://orcid.org/0000-0003-3693-3796","observed_orcids":["https://orcid.org/0000-0003-3693-3796"]},"institutions":[{"id":"https://openalex.org/I2801370866","display_name":"Maryland University of Integrative Health","ror":"https://ror.org/01nvm2856","country_code":"US","type":"education","lineage":["https://openalex.org/I2801370866"]},{"id":"https://openalex.org/I4405261437","display_name":"True P.A.L.E.O. Inc","ror":"https://ror.org/05a01f577","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4405261437"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"J. B. Hollywood","raw_affiliation_strings":["Department of Nutrition and Herbal Medicine, Maryland University of Integrative Health, Laurel, Maryland, USA","Discover Your Greatest Self, True Paleo Inc., Tampa, Florida, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nutrition and Herbal Medicine, Maryland University of Integrative Health, Laurel, Maryland, USA","institution_ids":["https://openalex.org/I2801370866"]},{"raw_affiliation_string":"Discover Your Greatest Self, True Paleo Inc., Tampa, Florida, USA","institution_ids":["https://openalex.org/I4405261437"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069658913","display_name":"D. Hutchinson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405261437","display_name":"True P.A.L.E.O. Inc","ror":"https://ror.org/05a01f577","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4405261437"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"D. Hutchinson","raw_affiliation_strings":["Department of Nutrition, Huntington University of Health Sciences, Knoxville, Tennessee, USA","Discover Your Greatest Self, True Paleo Inc., Tampa, Florida, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nutrition, Huntington University of Health Sciences, Knoxville, Tennessee, USA","institution_ids":[]},{"raw_affiliation_string":"Discover Your Greatest Self, True Paleo Inc., Tampa, Florida, USA","institution_ids":["https://openalex.org/I4405261437"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010877627","display_name":"N. Feehery-Alpuerto","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"N. Feehery-Alpuerto","raw_affiliation_strings":["College of Nutrition, Sonoran University of Health Sciences, Tempe, Arizona, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Nutrition, Sonoran University of Health Sciences, Tempe, Arizona, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034171443","display_name":"Miriam Whitfield","orcid":"https://orcid.org/0009-0003-1434-5659","observed_orcids":["https://orcid.org/0009-0003-1434-5659"]},"institutions":[{"id":"https://openalex.org/I2801370866","display_name":"Maryland University of Integrative Health","ror":"https://ror.org/01nvm2856","country_code":"US","type":"education","lineage":["https://openalex.org/I2801370866"]},{"id":"https://openalex.org/I4405261437","display_name":"True P.A.L.E.O. Inc","ror":"https://ror.org/05a01f577","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4405261437"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"M. Whitfield","raw_affiliation_strings":["Department of Nutrition and Herbal Medicine, Maryland University of Integrative Health, Laurel, Maryland, USA","Discover Your Greatest Self, True Paleo Inc., Tampa, Florida, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nutrition and Herbal Medicine, Maryland University of Integrative Health, Laurel, Maryland, USA","institution_ids":["https://openalex.org/I2801370866"]},{"raw_affiliation_string":"Discover Your Greatest Self, True Paleo Inc., Tampa, Florida, USA","institution_ids":["https://openalex.org/I4405261437"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031704322","display_name":"K. Davis","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I140902125","display_name":"Portland Community College","ror":"https://ror.org/01e4pq504","country_code":"US","type":"education","lineage":["https://openalex.org/I140902125"]},{"id":"https://openalex.org/I2801370866","display_name":"Maryland University of Integrative Health","ror":"https://ror.org/01nvm2856","country_code":"US","type":"education","lineage":["https://openalex.org/I2801370866"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"K. Davis","raw_affiliation_strings":["Department of Nutrition and Herbal Medicine, Maryland University of Integrative Health, Laurel, Maryland, USA","Institute of Health Professionals, Portland Community College, Portland, Oregon, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nutrition and Herbal Medicine, Maryland University of Integrative Health, Laurel, Maryland, USA","institution_ids":["https://openalex.org/I2801370866"]},{"raw_affiliation_string":"Institute of Health Professionals, Portland Community College, Portland, Oregon, USA","institution_ids":["https://openalex.org/I140902125"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5023782891","display_name":"Linnette Johnson","orcid":"https://orcid.org/0009-0009-9876-3893","observed_orcids":["https://orcid.org/0009-0009-9876-3893"]},"institutions":[{"id":"https://openalex.org/I2801370866","display_name":"Maryland University of Integrative Health","ror":"https://ror.org/01nvm2856","country_code":"US","type":"education","lineage":["https://openalex.org/I2801370866"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"L. M. Johnson","raw_affiliation_strings":["Department of Nutrition and Herbal Medicine, Maryland University of Integrative Health, Laurel, Maryland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nutrition and Herbal Medicine, Maryland University of Integrative Health, Laurel, Maryland, USA","institution_ids":["https://openalex.org/I2801370866"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5046686945","https://openalex.org/A5069658913"],"corresponding_institution_ids":["https://openalex.org/I2801370866","https://openalex.org/I4405261437"],"apc_list":null,"apc_paid":null,"fwci":0.2669,"has_fulltext":false,"cited_by_count":9,"citation_normalized_percentile":{"value":0.31319851,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":97},"biblio":{"volume":"42","issue":"8","first_page":"727","last_page":"736"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10293","display_name":"Thyroid Disorders and Treatments","score":0.9556000232696533,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10293","display_name":"Thyroid Disorders and Treatments","score":0.9556000232696533,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11348","display_name":"Celiac Disease Research and Management","score":0.008500000461935997,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12267","display_name":"Diet and metabolism studies","score":0.004000000189989805,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/paleodiet","display_name":"paleodiet","score":0.8399999737739563},{"id":"https://openalex.org/keywords/autoimmune-thyroid-disease","display_name":"autoimmune thyroid disease","score":0.9399999976158142},{"id":"https://openalex.org/keywords/hashimoto-s-thyroiditis","display_name":"Hashimoto's thyroiditis","score":0.9900000095367432},{"id":"https://openalex.org/keywords/graves-disease","display_name":"Graves' disease","score":1.0},{"id":"https://openalex.org/keywords/thyroid-autoantibodies","display_name":"thyroid autoantibodies","score":0.7879999876022339},{"id":"https://openalex.org/keywords/thyroglobulin","display_name":"thyroglobulin","score":0.8880000114440918},{"id":"https://openalex.org/keywords/thyroid-peroxidase","display_name":"thyroid peroxidase","score":0.9350000023841858},{"id":"https://openalex.org/keywords/thyroid-stimulating-hormone-receptor","display_name":"thyroid-stimulating hormone receptor","score":0.7990000247955322},{"id":"https://openalex.org/keywords/thyroid-hormones","display_name":"thyroid hormones","score":0.9010000228881836},{"id":"https://openalex.org/keywords/dietary-intervention","display_name":"dietary intervention","score":0.6700000166893005},{"id":"https://openalex.org/keywords/macronutrient-composition","display_name":"macronutrient composition","score":0.7120000123977661},{"id":"https://openalex.org/keywords/mindfulness-meditation","display_name":"mindfulness meditation","score":0.5659999847412109},{"id":"https://openalex.org/keywords/exercise","display_name":"physical activity","score":0.8899999856948853}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7905653715133667},{"id":"https://openalex.org/C526584372","wikidata":"https://www.wikidata.org/wiki/Q16399","display_name":"Thyroid","level":2,"score":0.5594367384910583},{"id":"https://openalex.org/C71315377","wikidata":"https://www.wikidata.org/wiki/Q11364","display_name":"Hormone","level":2,"score":0.5361115336418152},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5054895877838135},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.471609890460968},{"id":"https://openalex.org/C2778288131","wikidata":"https://www.wikidata.org/wiki/Q327362","display_name":"Triiodothyronine","level":3,"score":0.4487801194190979},{"id":"https://openalex.org/C2778835679","wikidata":"https://www.wikidata.org/wiki/Q412228","display_name":"Thyroglobulin","level":3,"score":0.4291459619998932},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.397201806306839},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001323","descriptor_name":"Autoantibodies","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006111","descriptor_name":"Graves Disease","qualifier_ui":"Q000178","qualifier_name":"diet therapy","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013963","descriptor_name":"Thyroid Hormones","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D013967","descriptor_name":"Thyroiditis, Autoimmune","qualifier_ui":"Q000178","qualifier_name":"diet therapy","is_major_topic":true},{"descriptor_ui":"D016032","descriptor_name":"Randomized Controlled Trials as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D050031","descriptor_name":"Hashimoto Disease","qualifier_ui":"Q000178","qualifier_name":"diet therapy","is_major_topic":true},{"descriptor_ui":"D066046","descriptor_name":"Diet, Paleolithic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1080/27697061.2022.2159570","doi":"https://doi.org/10.1080/27697061.2022.2159570","is_oa":false,"landing_page_url":"https://doi.org/10.1080/27697061.2022.2159570","pdf_url":null,"source":{"id":"https://openalex.org/S4210233975","display_name":"Journal of the American Nutrition Association","issn_l":"2769-7061","issn":["2769-7061","2769-707X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","ki-jl-1","medline","norway-1","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Nutrition Association","raw_type":"journal-article"},{"id":"pmid:36598468","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36598468","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Nutrition Association","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":58,"referenced_works":["https://openalex.org/W25683226","https://openalex.org/W58210246","https://openalex.org/W1983261536","https://openalex.org/W2000818836","https://openalex.org/W2023538026","https://openalex.org/W2048492218","https://openalex.org/W2050086985","https://openalex.org/W2050982157","https://openalex.org/W2051340961","https://openalex.org/W2058222914","https://openalex.org/W2065196538","https://openalex.org/W2083776525","https://openalex.org/W2099418651","https://openalex.org/W2119052215","https://openalex.org/W2121872201","https://openalex.org/W2125165492","https://openalex.org/W2143611871","https://openalex.org/W2320063123","https://openalex.org/W2374729272","https://openalex.org/W2430586821","https://openalex.org/W2466317254","https://openalex.org/W2519323861","https://openalex.org/W2519467154","https://openalex.org/W2532783944","https://openalex.org/W2552543332","https://openalex.org/W2560137695","https://openalex.org/W2570849642","https://openalex.org/W2585988790","https://openalex.org/W2593742724","https://openalex.org/W2746942950","https://openalex.org/W2754269118","https://openalex.org/W2762955941","https://openalex.org/W2778160884","https://openalex.org/W2790879875","https://openalex.org/W2795016261","https://openalex.org/W2891917088","https://openalex.org/W2895841262","https://openalex.org/W2900534476","https://openalex.org/W2941614327","https://openalex.org/W2942028639","https://openalex.org/W2944418502","https://openalex.org/W2963672951","https://openalex.org/W2981568805","https://openalex.org/W2982156512","https://openalex.org/W2990999629","https://openalex.org/W3012152578","https://openalex.org/W3025659718","https://openalex.org/W3027411335","https://openalex.org/W3031628744","https://openalex.org/W3098862723","https://openalex.org/W3111337030","https://openalex.org/W3116357271","https://openalex.org/W3135903397","https://openalex.org/W3195277047","https://openalex.org/W3216262966","https://openalex.org/W3216732090","https://openalex.org/W4200029385","https://openalex.org/W4213348185"],"related_works":["https://openalex.org/W3080608533","https://openalex.org/W4212801660","https://openalex.org/W3046325134","https://openalex.org/W3184991358","https://openalex.org/W3116357271","https://openalex.org/W2738473692","https://openalex.org/W2556562919","https://openalex.org/W4392856447","https://openalex.org/W2137280626","https://openalex.org/W4384276976"],"abstract_inverted_index":{"The":[0,264,300],"aim":[1],"of":[2,11,79,100,108,112,118,218,227,233,240,251,296,327],"this":[3,269],"systematic":[4],"review":[5],"was":[6,128,230],"to":[7,27,35,150,281,306,330],"examine":[8],"the":[9,33,135,187,222,225,238,294],"characteristics":[10],"Paleolithic":[12,101,177],"diet":[13,30,99,302,321,341],"(PD)":[14],"interventions":[15,180,220,291],"designed":[16],"for":[17,293],"adult":[18,77],"patients":[19],"with":[20,75,85,196,237],"autoimmune":[21,297],"thyroid":[22,38,45,49,56,63,113,260,298,311,356],"disease":[23,91],"(AITD)":[24],"in":[25,275,313,350,362],"order":[26],"determine":[28],"if":[29],"elements":[31],"have":[32,255,334],"potential":[34],"successfully":[36],"reduce":[37],"antibodies":[39,309],"(Ab)":[40],"such":[41],"as":[42],"thyroglobulin":[43],"(Tg),":[44],"peroxidase":[46],"(TPO),":[47],"and":[48,54,62,82,105,141,153,164,246,249,262,310,317],"stimulating":[50,64],"hormone":[51,65],"receptor":[52],"(TSHR),":[53],"improve":[55,307],"hormones":[57,312],"(thyroxine":[58],"(T4),":[59],"triiodothyronine":[60],"(T3)":[61],"(TSH))":[66],"or":[67,89,102,116,178],"resolve":[68],"AITD":[69,109,119,173,195,213,308,352,363],"pathogenesis.":[70],"Randomized":[71],"controlled":[72,158],"trials":[73],"(RCTs)":[74],"an":[76],"population":[78],"18":[80],"years":[81],"older,":[83],"diagnosed":[84],"Hashimoto's":[86,315],"thyroiditis":[87,316],"(HT)":[88],"Graves'":[90,318],"(GD)":[92],"(Basedow's),":[93],"who":[94],"were":[95,120,125,147,168,181,186],"placed":[96],"on":[97,176,194,224,259,338],"a":[98,161,256,324],"ancestral":[103,179,234],"nature,":[104],"achieved":[106],"reduction":[107],"Abs,":[110],"improvement":[111],"hormones,":[114],"and,":[115],"resolution":[117],"searched.":[121],"Various":[122],"electronic":[123],"databases":[124],"used.":[126],"Bias":[127],"assessed":[129],"using":[130],"critical":[131],"appraisal":[132],"tools":[133],"from":[134,199],"Scottish":[136],"Intercollegiate":[137],"Guidelines":[138],"Network":[139],"(SIGN)":[140],"Joanna":[142],"Briggs":[143],"Institute":[144],"(JBI).":[145],"Studies":[146],"excluded":[148],"according":[149],"exclusion":[151,250],"criteria":[152],"results":[154,337],"analyzed.":[155],"One":[156],"randomized":[157],"trial":[159],"(RCT),":[160],"pilot":[162],"study,":[163],"six":[165],"case":[166],"studies":[167,174,191,203,266,279],"found.":[169],"In":[170,183],"total,":[171],"eight":[172],"focusing":[175],"located.":[182],"highlight,":[184],"females":[185],"predominant":[188],"gender.":[189],"Case":[190],"solely":[192],"focused":[193],"protocols":[197],"ranging":[198],"8-60":[200],"weeks.":[201],"All":[202],"showed":[204,212],"clinical":[205,276],"improvements,":[206],"one":[207],"had":[208],"significant":[209],"improvement,":[210],"two":[211],"resolution.":[214],"After":[215],"structured":[216],"evaluation":[217],"nutritional":[219],"utilizing":[221],"PD":[223],"effects":[226],"AITD,":[228],"it":[229],"concluded":[231],"foods":[232,254],"nature":[235],"along":[236],"addition":[239],"specific":[241,343],"supplements,":[242],"food":[243],"components,":[244],"exercise":[245],"mindfulness":[247],"meditation,":[248],"modern":[252],"day":[253],"considerable":[257],"impact":[258],"Ab":[261],"hormones.":[263],"relevant":[265],"suggest":[267],"while":[268,354],"dietary":[270,290],"protocol":[271],"can":[272,322],"be":[273,282,348,360],"useful":[274,361],"practice,":[277],"larger-scale":[278],"need":[280],"conducted.":[283],"Key":[284],"teaching":[285],"pointsThere":[286],"are":[287],"currently":[288],"no":[289],"recommended":[292],"treatment":[295],"disease.":[299],"Paleo":[301,320],"has":[303],"been":[304],"documented":[305],"both":[314],"disease.The":[319],"provide":[323],"natural":[325],"source":[326],"nutrients":[328,332],"similar":[329],"supplemental":[331],"that":[333,346],"shown":[335],"positive":[336],"AITD.The":[339],"paleo":[340],"provides":[342],"macronutrient":[344],"percentages":[345],"may":[347,359],"beneficial":[349],"reducing":[351],"antibodies,":[353],"improving":[355],"hormones.Methylation":[357],"supplementation":[358],"cases.":[364]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2023-01-06T00:00:00"}
