The trilateral nexus of autoimmune thyroiditis: integrating immunological triggers, endocrine disruption, and gut microbiome alterations for treatment strategies. Xiangkun Meng Rui Hao Ke Liu Pei Zhang Cheng An Ying Zhang Hongjiao Li Bangtai Wu Min Li Xiaotong Yu Xiaolin Tong a College of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Changchun, Chinab Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, Chinac Department of Endocrinology, South Branch of Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, Chinad Beijing University of Chinese Medicine, Beijing, Chinae Institute of Clinical Basic Medicine, China Academy of Chinese Medical Sciences, Beijing, Chinaf Shantou Hospital of Traditional Chinese Medicine, Shantou, China