Polski merkuriusz lekarski: organ Polskiego Towarzystwa Lekarskiego
choice depends on clinical context, tolerability, and individual goals
Serious underlying conditions include infections (tuberculosis, HIV), blood cancers like lymphoma, hyperthyroidism, and sleep apneamaking medical evaluation crucial for persistent episodes
Things just feel a bit heavy
Some people inherit gene variants in COMT, CYP enzymes, and methylation genes (such as MTHFR)
Most or all of these are common in women who are overweight: Ultra-processed foods Low fiber intake Low protein diets Imbalanced gut flora Lack of short-chain fatty acids Chronic inflammation Poor quality sleep Chronic stress or high cortisol Obesity Insulin resistance/prediabetes Poor vagal nerve function Aging The critical point here is that all but one of those factors are largely or totally within our control