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Contact your GP or mental health team immediately if you notice mood changes, sleep disturbances, increased anxiety, or thoughts of self-harm

Oxidative stress occurs from normal cellular processes but increasingly from pollution, toxins, stress, and other exposures of modern life

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Undigested food hardening in your stomach: Food that doesnt digest can harden into a solid mass called a bezoar, which can cause nausea and vomiting and can be life-threatening if it blocks food from passing into your small intestine

Weight change minimal (0-2 lbs)

However, combined use requires medical supervision, individualized monitoring of hormone levels, blood counts, and cardiovascular parameters, and careful assessment of each medication's risk-benefit profile