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However, the issue is currently poorly studied to provide reliable evidence

The greater decrease in LAC levels in severe forms of MDD and in patients with treatment resistant depression (TRD) is akin to a kindling-like progression of depression in that earlier age at onset and/or the presence of early life adversity, such as emotional trauma, conveys liability to more severe and treatment-resistant course of illness [51, 53, 55]

My wife also noticed my skin looks healthier, which was an unexpected bonus. James P