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Risk of cardiovascular disease and mortality among women with endometriosis: A systematic review and meta-analysis

The article argues that in undertreated hypothyroidism the deficit is physiological rather than behavioral, which is why calorie restriction alone often falls short

Adding keto to this combination is generally manageable but may be unnecessary, given that three separate appetite-suppressing interventions could reduce intake to dangerously low levels

They tend to be most disruptive early in treatment, particularly during dose escalation, and ease up over time for most users

This combination is not FDA-approved, and no clinical trials have evaluated its safety or efficacy