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Recommend that patients reduce intake of caffeine and alcohol (and animal products, too) to facilitate liver detox of estrogen while increasing dietary fiber intakes to block intestinal deconjugation of excreted estrogen metabolites
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It is also a shame given the risk calculations in my mind for these small, short chain peptides is far different than a traditional pharmaceutical drug, given this is, in some ways, replacing/replenishing an endogenous gastric peptide that appears to decrease with age/stress
Many clinicians also track outcomes with photos or skin analysis to document before-and-after progress
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