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A severe Herx reaction is a temporary worsening of symptoms after starting Lyme treatment, caused by inflammation triggered by bacterial breakdown

[23] In two clinical trials, hypothyroid patients who took selenium showed reduced thyroid antibodies compared to a placebo [24] and improved ultrasound findings

Impaired adipogenesis is associated with lipodystrophy, characterized by reduced adipose tissue mass, leading to insulin resistance and ectopic lipid accumulation, particularly in the liver [54]

Because blood is pooling in the legs, less blood returns to the heart and brain, triggering dizziness, lightheadedness, and a compensatory spike in heart rate (tachycardia) as the heart desperately tries to pump the remaining blood upward

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Without adequate NAD+, Sirtuin activity falls and the cell's ability to repair itself degrades with it