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The latter is chemically unstable due to the reactive carbon of the isothiocyanate group (N=C=S) that easily reacts with nucleophiles such as thiols

The vast majority of patients are candidates for peptide therapy, although those with cancer or who are pregnant should not undergo treatment

The formation of this membrane associated enzyme complex results in the generation of superoxide anion which in turn is converted to hydrogen peroxide through the action of Cu-Zn superoxide dismutase (SOD1)

Academic Press 105:114120

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If your healthcare provider does recommend you take thyroid medication, such as levothyroxine which is typically taken in tablet form once daily, you may need to continue taking it for a long period of time, depending on your individual case