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The reticulocyte count (immature red blood cells) typically rises within 3–5 days of starting treatment, indicating that bone marrow is responding appropriately to therapy

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Zinc deficiency can impair thyroid hormone receptor function, affecting their ability to bind thyroid hormones effectively and regulate gene expression, leading to disruptions in thyroid hormone signaling pathways [89], may influence decreased thyroid hormone synthesis, and potentially contribute to hypothyroidism development [90,91]