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Again, rare but requires prompt evaluation

Pay attention to gastrointestinal tolerance and the emerging TMAO literature and consult your clinician if you have kidney or heart disease
Research indicates that the co-existence of PCOS and MASLD increases the likelihood of developing type 2 diabetes, cardiovascular disease, and chronic kidney disease, which are more serious and difficult to manage than MASLD alone (Shahbaz et al., 2022)

Jeffrey Bland and I discuss how functional medicine offers more personalized, effective care

Beyond documentation, supplier reputation matters significantly
