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Despite these flaws, a subsequent, higher quality study found kava to be more effective than a placebo at improving sleep quality and reducing anxiety ( Interestingly, kavas effects on insomnia may stem from its effects on anxiety

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These ideas remain hypotheses and underscore the need for continued investigation

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The study assessed various clinical and biochemical markers, including body weight, body mass index (BMI), waist circumference (WC), total fat mass, and visceral fat, as well as such inflammatory markers as the PASI and the Disease Activity Index of Psoriatic Arthritis (DAPSA)