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Elevated estrogen can cause: Gynecomastia (breast tissue growth and tenderness) Fluid retention and bloating Emotional changes or irritability In some cases, clinicians add aromatase inhibitors alongside TRT to limit estrogen conversion, but this adds complexity and potential side effects
In addition to semaglutide, other factors, such as stress related to the diagnosis and prognosis of diabetes, and psychological events may also have contributed to her current episode
This is not a character failure
The same publication also detected an increased abundance of the genus Colidextribacter in patients with impaired intestinal permeability [38]: this taxon has previously been described to play a role in the increase of cellular oxidative stress capacity in a mice model, thus contributing to gut barrier impairment [38]
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