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Poor detoxification is a common issue in Hashimotos

By using an isotope labelling experiment to trace the catabolism of the quorum sensing molecule phenylethyl alcohol, that represses hyphae formation under hyphae-inducing conditions, we have also found strong evidence for the involvement of NADP + /NADPH and NAD + /NADH in phenylethyl alcohol-mediated morphogenesis

Budd D, Himmelberger D, Rhodes T, Cash TE, Girman CJ

What we observe clinically: some women report luteal phase symptoms (breast tenderness, bloating, mood changes) lasting longer or feeling more intense during tirzepatide treatment, suggesting altered progesterone dynamics

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Theyll also monitor you during your treatment to see if you develop any signs of misusing or becoming dependent on Vyvanse