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Cortisol, the stress hormone, interacts with estrogen and progesterone to influence insulin sensitivity and fat storage

Zhang Y, Wang H, Qiu P, et al

Pineal gland regulation: Derived from peptides associated with the pineal gland, Epithalon has been studied for its effects on neuroendocrine signaling and circadian regulation involving Melatonin

The intensity, timing, and type of exercise may need adjustment, particularly during the first few weeks of treatment or when your dose increases

This overlap creates potential challenges in distinguishing medication side effects from disease flares, which could delay appropriate escalation of IBD therapy