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Dietary considerations become particularly relevant during the initial titration phase when gastrointestinal side effects such as nausea, vomiting, and abdominal discomfort are most common

Since chronic stress is present in approximately 80% of functional hypothalamic amenorrhea cases, addressing this component is essential for cycle restoration

Westphal LM, Polan ML, Trant AS, Mooney SB

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Therefore, targeting tryptophan metabolism repairs abnormalities in endogenous metabolic pathways in IBD

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