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Avoid consuming fried foods, creamy sauces, and red meat, which are harder to digest without a gallbladder and with slowed gastric emptying

The culprit might be hormonal imbalance and weight gain

Elsevier Masson

The autoantibodies in this process against the TSH receptor continuously stimulate the thyroid gland toward hyperplasia and production of increased amounts of hormones (Antonelli et al