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Thau-Zuchman, O

Repeat the process as necessary if stains and odor remain

114 Further complicating the relationship between metformin and gut microbiota is a recent study on mice that found that some of the antidiabetic effects of metformin may be mediated by positive alterations to the microbiome

In cases of pregnancy, pregnant subjects should take caution while using bacteriostatic water in any form due to the lack of animal focused research studies regarding how the benzyl alcohol may or may not have negative effects on the fetus or the reproductive system

Thus, I, along with most progressive, integrative, and functional medicine physicians, will often recommend thyroid hormone treatment at this stage (some even advocate for treatment with thyroid medications during stage 2)