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Keep both doctors updated about all your medications, symptoms, and health changes

Several bacterial fermentation pathways have been proposed to lower cholesterol levels, including bile acid-converting and SCFA-producing enzymes which may reduce the rate of cholesterol reabsorption and increase cholesterol metabolism 76

Barrier-repair compounds stabilize the tissue so it stops generating the inflammatory signals that perpetuate the pigmentation cycle

That being said, different mechanisms may offer different side effect profiles, and its possible that future multi-agonists could yield improved tolerability profiles