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Presented for research literature review only Tunnicliffe HE (1925)

The contact information for your PBM should be on your insurance card but may be on a separate card- common PBMs are ExpressScripts, CVS Caremark, and OptumRx

Binders can help mitigate this and function by: Adsorption physically binding toxins through electrostatic attraction or surface adsorption Chelation or complex formation forming stable complexes that limit absorption Interrupting enterohepatic recirculation promoting elimination through stool Different binders vary in their binding affinity for specific mycotoxins, which is why clinicians often use a combination approach depending on the toxin profile

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In addition, stress, excessive exercise (ie, more than one hour of high-intensity exercise daily), and some medications are possible causes of hyperprolactinemia