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Most overlap with common menopause symptoms, because estrogen decline is the underlying driver

Research has shown KPV: Reduces intestinal inflammation Supports gut barrier function Modulates the immune response in inflammatory bowel conditions For long COVID patients with significant gut dysfunction and gut-driven systemic inflammation, KPV offers a targeted, well-tolerated option for reducing the gut-immune inflammatory burden

But most neurologists actually have a higher threshold

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The hypothalamus requires adequate energy reserves to maintain the pulsatile secretion of gonadotrophin-releasing hormone (GnRH), which stimulates the pituitary gland to produce luteinising hormone (LH) and follicle-stimulating hormone (FSH)