Almonds Almonds act as a helping hand in the regulation of blood sugar levels. Women, Food, and Hormones : A 4-Week Plan to Achieve Hormonal Balance, Lose Weight, and Feel Like Yourself Again by Sara Gottfried Overview - New York Times best-selling author Dr. Sara Gottfried shares a new, female-friendly Keto diet that addresses women's unique hormonal needs, so readers can shed pounds and maintain the loss more easily. Here are the top foods that balance hormones in females. Foods like broccoli and brussels sprouts contain indole-3 carbinol, which helps your liver get rid of excess estrogen. Turmeric is popularly known for its powerful anti-inflammatory, anticancer, antibacterial and pain-relieving properties. It is recommended to ingest ⦠Here are the top 5 foods for achieving hormonal harmony! Diet-related ways to balance hormones. A hormone imbalance might cause weight gain, despite your healthy lifestyle. Without further ado, here are my top 5 hormone balancing food recommendations. A Guide to Managing Hormonal Balance with Food. ; Storage and secretion of the hormone. are amazing sources of iodine, an important mineral that helps us manufacture our thyroid hormones . They mimic the activity of estrogen and also help get rid of excess or bad estrogen. Use turmeric to balance hormones. They contain lignans which are a type of phytoestrogens that have both an estrogenic and antiestrogenic effect. Salmon. Flaxseeds, lentils, chick peas â contain phytoestrogens that help to balance your oestrogen levels Eat your broccoli and cabbage â cruciferous vegetables help to get rid of excess oestrogen Fibre â fruit, veg, whole grains, nuts, seeds, beans, legumes, oats â help to eliminate excess oestrogen In addition to relieving symptoms of PMS, evening primrose oil benefits for hormonal balance also include balancing estrogen levels. 5 hormone balancing foods for optimal healthFlaxseed.Cruciferous vegetables.Bitter greens.Broccoli sprouts.Sea vegetables. To support healthy hormones and a healthy microbiome â you must first begin with nutrition. June 24, 2021; Confinement Tips; As when you first got pregnant and experienced morning sickness during the first trimester due to the drastic changes in levels of different hormones in the body. Hormonal imbalances can also affect sex drive, fertility, metabolism and even mood swings in both men and women. How to Balance Hormones With Food. You can help your body combat these hormonal imbalances with the right nutrients. Food: Providing the Building Blocks Eat the Rainbow. Hormonal imbalance symptoms are often confused with a few other common symptoms. 4. Aging from external and internal factors can cause deep wrinkles and hyper-pigmentation , and is a natural process, governed by our own bodyâs biological clock. 11. Eat Protein at Every Meal. Estrogen imbalances in both men and women are all too common and can lead to a variety of health concerns including endometriosis, fibroids, irregular periods, PMS, fibrocystic breast changes, prostate enlargement and loss of libido. Hormonal acne occurs when there is an imblance in your hormone levels. According to the AARP, healthy fats like coconut oil, olive oil, sweet potatoes, and avocados help keep estrogen levels balanced. This fish has a high content of vitamin D. It is also rich in omega-3 fatty acids. Turmeric is one of the best foods that balance hormones in females.It is a golden spice that originates from South East Asia. In some cases, medications and other drugs that you take on a regular basis can cause problems with your hormonal balance. For example, high levels of estrogen, cortisol, and insulin along with low testosterone and DHEA can cause you to put on extra belly fat. The fiber in root vegetables helps balance blood sugar levels, thus balancing hormones. And, just like certain foods are labeled as âhormone-disruptors,â other foods work to balance your hormones. Supports the hypothalamus-pituitary-adrenal (HPA) axis, helping to maintain hormonal balance without over-stimulating the endocrine system. 4. Include herbs and spices for food in your daily diet. Dr. Natasha Turner on the âDoctor Oz Showâ said that any hormonal imbalances will make it difficult to lose weight. #1. If you're dealing with hormonal acne, you should know that you're not alone! Omega-3 helps reduce inflammation and support hormone balance. Image courtesy: Shutterstock. Complex, High-Quality Protein Protein provides key building blocks (aka. The great thing about herbs is that you can easily sneak them into your meals. One sign that dairy is messing with your hormones is if it gives you acne. Limit Your Intake of These Foods Photo: Alexander Spatari/Getty Images Dark leafy greens are nutrient-rich foods that balance hormones in females. Think of hormones as chemical messengers. But hormone changes donât directly affect your weight. But promising that it can "balance hormones," cure a whole host of problems and diseases, restore sleep, give you glowing skin and healthier hair, and more is ⦠The relationship between hormone balance and diet means that making new and beneficial food choices is a form of therapy that restores the hormonal balance in your body. You'll learn how to balance your hormones naturally.) Instead, try crunching carrots as a snack instead of something high in sugar and calories. This combination of nutrients makes kombucha (aka âboochâ) a powerful health drink for hormone and female health. All organisms need adequate food consumed in the right nutrition in order to function at its peak performance. are a powerful food group that provides the body with potent antioxidants, fibre, and a vast array of micronutrients that are required for healthy hormone balance production and metabolism. And some foods and true superfoods for hormonal balance. Leptin and ghrelin are two hormones that have been recognized to have a major influence on energy balance. High-quality protein foods - Grass-fed beef, organic chicken, wild-caught fish, and free-range eggs are high in protein and nutrients and help balance blood sugar, a key component in the fight against hormonal fluctuations. Vitex (160 milligrams of vitex/chasteberry). Other root vegetables provide food for the healthy bacteria that live in your gut. Your gameplan: Sound sleep is a key factor in ensuring your ghrelin secretion is properly regulated. Negative energy balance. When these messengers become impaired, cellular function fails, and your bodyâs systems can no longer perform optimally. Hydrangeaâs flavonoids, saponins, and essential oils nourish the urogenital system while renowned aphrodisiac, Damiana, increases genital blood flow and sensitivity. Itâs best to limit or avoid added sugar, processed carbs and refined vegetable/seed oils. Read on to know more about hormonal imbalance symptoms and the foods to balance hormones. âThat includes pork, chicken, beef, turkey, and other types of meat that are not raised organically. âCooking for Hormone Balance is the first book to show how scrumptious, fast, and easy food can rebalance your hormones, including your thyroid hormones, and free you from a long list of annoying and debilitating symptoms. ; Recognition of the hormone by an associated cell membrane or intracellular receptor protein. The things to look for in hormone balancing foods are clean protein, healthy fats, fruit and vegetables that are high in antioxidants, and healing herbs. When hormones are not metabolized properly, the ratio of progesterone to estrogen can swing out of balance. Some foods are better than others at helping us make our hormones; other foods can actually disrupt our hormones and push us into a state of imbalance. Here's what causes hormonal weight gain and how to get rid of hormonal belly fat. Regulates blood sugar and hormonal balanceA daily dose of Himalayan salt can ensure proper flow of fluids in the body. Use turmeric to balance hormones. Eat less processed foods, fried foods, sugar, and artificial sweetenersâand drink less alcoholâto avoid hormone imbalances. Food phytoestrogens are likely best here. Aim to have a serving or two of these foods each day. Oatmeal Everything in life has a balance and our bodies are no different. ⢠Carbohydrate sensitive individuals may find that eating whole grain products (whole wheat, whole rye, There are dietary guidelines that will significantly help balance the overall hormonal picture. When youâre sprinting hard, for instance, youâre putting a strain on your muscles, energy systems, and heart. Foods That Help Balance Hormones Soy. And one of the best ways to counteract excess estrogen is to eat more cruciferous veggi⦠Vitamin B6 foods. When sodium consumption and loss are not in balance, the total amount of sodium in the body is affected. Food Omega-3 Rich Foods: try and consume wild-caught fish up to three times per week to get your omega-3 count up.There are wonderful omega-3 rich plant foods like flax seeds, walnuts, and chia seeds if you are plant-based. Probiotics are good bacteria that support your gut (which balances your hormones). Seed rotation is considered a âfood as medicineâ practice, but it doesn't mean it is a substitute for a medication you require. For years youâve probably been told that fat-free is good, while cholesterol and saturated fat are bad. Nutrients from the foods we eat help our bodies produce our hormones. For many, this superfoods blend boosts energy, curbs cravings, and restores hormonal balance. Food Omega-3 Rich Foods: try and consume wild-caught fish up to three times per week to get your omega-3 count up.There are wonderful omega-3 rich plant foods like flax seeds, walnuts, and chia seeds if you are plant-based. What are good medicinal recommendations for proper hormonal balance? Good examples of vitamin b6-rich foods are milk, eggs, and fish, but if you follow the endometriosis diet you should skip those. 1. The right nutrients will give your body the essential building blocks that it requires to make and maintain the necessary hormonal balance. A womanâs hormonal balance is ideally in a dynamic equilibrium that shifts from day to day, week to week, and through the years. June 24, 2021; Confinement Tips; As when you first got pregnant and experienced morning sickness during the first trimester due to the drastic changes in levels of different hormones in the body. Flaxseed. Supplements to Support Hormone Balance. The nutrients we consume (from food as well as dietary supplements) actually regulate how our hormones are built and how they function. This spice helps slow the development of estrogen-dependent cancer cells. 11+ Foods for Hormone Balance Get out a pen and paper because youâre going to want to note these 11 foods that are vital to a hormone balance diet. Hormonal Imbalance Symptoms Certain vitamins help regulate the hormones in the body. Hormonal imbalance is mostly treated by meditation and making some necessary lifestyle changes. âResearch suggests that downing artificial sweeteners may alter our gut bacteria, which may impact the balance of hunger and satiety, those same hormones leptin and ghrelin,â says Gabriel. Incorporating root vegetables into your diet is simple. In this piece, Dr. Sara Gottfried, hormone expert and Harvard-trained MD, explains how hormonal imbalances can hold you back from weight loss. Turmeric . Egg yolks: They're rich in countless vitamins and minerals including A, D, E, B2, B6, B9, iron, calcium, phosphorous, potassium, and choline, which all support natural hormone levels and healthy skin. How To Treat Hormonal Imbalance With Food â Clary Sage Oil. 2. Hormone Balance is very necessary and key factor to avoid Hirsutism and excessive hair growth like men.All food that we take directly control our Hormone Balance. When you give your body the support it needs, it can effectively reset itself, because itâs equipped and programmed for balance and wellness. Lifestyle factors, including stress, extreme body weight (too low or too high), coffee consumption, diet, and excessive exercise can affect a woman's hormonal balance and subsequent ovulatory pattern. A Guide to Managing Hormonal Balance with Food. 1. Shop California Olive Ranch Everyday Extra Virgin Olive Oil ($35) Shop Viva Naturals Organic Extra-Virgin Coconut Oil ($12) 7. Optimal nutrition helps reduce mood swings, depression, anxiety, and irritability while boosting energy. Kombucha. 8 Foods that Balance Hormones in Females. A must-have for any woman with hypothyroidism.â There are over 50 hormones in the body and these hormones work in a delicate balance with each other (like a well- orchestrated symphony) and one of the biggest culprits behind hormonal imbalances is this lack of a nutrient dense diet from mainly whole foods. * The choline and iodine in egg yolks are also crucial for making healthy thyroid hormones . Believed to have originated in China about 2000 years ago, kombucha is a fermented tea that is rich in hormone-friendly: enzymes. All of this contributes to excess estrogen/estrogen dominance and increased toxicity. Photo: Stocksy/Nadine Greeff. It is released in high amounts during the follicular phase of the menstrual cycle which is ⦠4. In Your Body in Balance, Dr. Barnard describes how food and hormones play a powerful role in:. DIM - Diindolylmethane is a naturally occurring phytonutrient that is found in cruciferous vegetables. Worst foods for hormone balance Eat less processed foods, fried foods, sugar and artificial sweetenersâand drink less alcohol âto avoid hormone imbalances. Legumes are hormone balancing foods because they are high in fiber, plant based protein, and they are a slow carbohydrate. If you suffer from weight loss resistance, brain fog, insomnia, fatigue, PMS, hair loss, food cravings, or PCOS your hormones are likely out of balance. Seed cycling: Seed cycling is a natural treatment for women with flax, calf, sesame, and sunflower for hormonal imbalances. sweet food), we will crave foods at the other extreme of yang (salty food) to balance us out. âResearch suggests that downing artificial sweeteners may alter our gut bacteria, which may impact the balance of hunger and satiety, those same hormones leptin and ghrelin,â says Gabriel. Throughout your 40s and 50s, food can be instrumental in alleviating the symptoms of shifting hormones. Hereâs a list of the most terrible foods that cause hormonal imbalance in women. The relationship between hormone balance and diet means that making new and beneficial food choices is a form of therapy that restores the hormonal balance in your body. Hormonal balance is another important factor in female fertility, in particular regarding the ovarian cycle. This optimizes the ratio of estrogen metabolites that is crucial for breast, uterine, cervical, and prostate health. One of the biggest culprits I find with hormone imbalance, is eating foods that cause inflammation which cause an unhealthy hormone response. Hormone balance is deeply connected to the food we eat, the exercise we get, the toxins we absorb, the weight we carry, and the stress levels we put up with. Unhealthy habits can muddy the midlife picture by speeding the pace of hormonal decline and premature aging. If you're interested in learning more, check out her course: How To Balance Your Hormones For Glowing Skin, Deeper Sleep & Better Digestion. Instead, it likely happens because of other factors, like aging or lifestyle. Here are the top 5 foods for achieving hormonal harmony! Learn more. The regulation and metabolism of several hormones are influenced by interactions between the effects of sleep and the intrinsic circadian system; growth hormone, melatonin, cortisol, leptin, and ghrelin levels are highly ⦠Balance Estrogen Levels. ; Transport of the hormone to the target cell(s). Eggs. 1. Also, read: Balance out nasty hormonal imbalance with these 4 superfoods 2. By Christine Morrison | February 17, 2020. These are the foundation of building amazing hormones. amino acids) used by the endocrine system to produce hormone balance. Aim for 60 grams of digestion-friendly protein. Consume enough protein a day. In Dr. Gottfried presents a groundbreaking new plan that helps women balance their hormones so they can lose excess weight and feel better. Dietary fat plays a large role in hormonal balance, and if your testosterone levels are low, eating more fat can give your levels a boost. Cruciferous vegetables should be eaten daily to as part of your hormone detoxification and balancing system. Refined Flour (White Flour) If you have PCOS or diabetes, you should consider refined flour a deadly food choice for hormone balance. My favourite high-fibre foods: ground flaxseed, chia seeds, psyllium husks, fruits & veggies, beans, and legumes. The endocrine system is an intricate triad of adrenal, thyroid and sex hormones, and when one system is out of balance, mood, sex drive, sleeping pattern and metabolism are affected. The levels of several hormones fluctuate according to the light and dark cycle and are also affected by sleep, feeding, and general behavior. 12 Tips to Balance Estrogen Levels Naturally. ; Relay and amplification of the received hormonal signal via a signal transduction ⦠Hormones like estrogen and testosterone are crucial to your heath, and a hormonal imbalance can cause symptoms like acne and weight gain. There are dietary guidelines that will significantly help balance the overall hormonal picture. Using exercise to balance hormones is part of a balancing act, Zellner explains. What food causes hormonal imbalance? From soups and salads, to smoothies and juices, herbs are quite versatile. ⢠Alcohol also interferes with estrogen metabolism and causes almost an immediate hormone imbalance, increasing estrogen in the blood relative to progesterone. Foods that balance hormones in females: Researchers are working day and night to find out the natural ways to balance the hormone levels. Fertility and menopause: Learn how foods affect the hormones that play a role in fertility, premenstrual syndrome, endometriosis, menstrual cramps, and polycystic ovarian syndrome. Hormonal imbalances due to PCOS can result in weight gain. Liver-supportive foods - Since hormones are processed in the liver, eating liver-supportive foods can help clear up acne. Eating enough protein can decrease levels of ghrelin (aka the hunger hormone) and stimulate the production of hormones that help you feel full.. To optimize hormonal health, ⦠Praise for Your Body in Balance: "In Your Body in Balance, Dr. Neal Barnard distills the latest nutritional science down to bite-sized truths that will quickly transform nearly any life plagued by hormone dependent illness into one of vibrant wellness.Whether it's cramps, cancer, infertility, impotence, moodiness or menopause, Dr. Barnard masterfully navigates a clear path to your ⦠When it comes to restoring hormonal balance, you cannot skip the lifestyle and diet recommendations. Soy (and its hormonally active element, isoflavones) has gotten a bad rap in holistic circles thanks to its estrogen-like properties. The right nutrients will give your body the essential building blocks that it requires to make and maintain the necessary hormonal balance. Healthy kidneys maintain a consistent level of sodium in the body by adjusting the amount excreted in the urine. While not in the vid, Muehl says eggs are another great food for hormone balance because, like chickpeas, fish, and fresh produce, ⦠Scroll down for the 5 best foods to eat if you're dealing with a hormone imbalance. Youâll get the 4-pack for free, too, a $9.99 value. At Parsley Health, we work with our members who have hormone imbalances to naturally bring their hormones back into balance. It might come as a shock to you, but soy products which are generally considered to be healthy can actually disrupt hormonal balance. Salmon fish is one of the best hormone balancing foods for health for various reasons. Hormonal issues can seem elusive, but so many of the factors that contribute to our hormonal balance can actually be controlled (and changed), and diet is among the most important. The Best Vitamins for Hormonal Imbalance. This article will show you 12 natural ways to balance your hormones. Dr. Sebi's Estro supports female reproductive health and hormonal balance. Eat Enough Protein at Every Meal Consuming an adequate amount of protein is extremely important. Depending on what foods you ingest, and particularly the foods that you eat regularly, you will either stay in balance or cause a hormone imbalance. Flaxseeds ( buy here ), also known as linseeds, are a superfood that balance hormones in females. You may gain weight during hormonal shifts, such as menopause. Fiber foods help build up fecal bulk and they make the excretion process go much smoother. Heal a damaged gastrointestinal tract that is causing indigestion, bloating, constipation, diarrhea, stomach pain, IBS with food and supplements. Foods like seaweed have high levels of iodine that can complicate these disorders. It can be irritating to the gut, inflammatory, and, if it's conventional dairy, it can even be packed with antibiotic residue and recombinant bovine growth hormone. 5. 1. From unfiltered water and pesticides to plastics and birth controlâ¦we are constantly exposed to synthetic estrogen. These nutrients all help your body to produce hormones correctly and maintain hormonal balance, which it ⦠Carrots, in particular, are great for preventing estrogen dominance, while sweet potatoes boost progesterone levels. Incorporating vitamins, for example, into your daily diet can help support a more balanced bodyâhelping you to stave off any of those symptoms you might be experiencing. And according to studies, some foods are very effective in balancing the hormone in females. "Research suggests that downing artificial sweeteners may alter our gut bacteria, which may impact the balance of hunger and satiety, those same hormones leptin and ghrelin," says Gabriel. Eating beetroot twice a week is important to balance the hormone in the body. 10 Foods to Balance Estrogen. Dairy works on a variety of levels to disrupt hormonal balance. ... everything from your metabolism, to your hormonal balance, to your mood is impacted. Good thing it is possible to regulate your hormones easily and efficiently by adding the right food items in your food regimen. Adrenal Hormone Balance and Breast Cancer Risk. What Are Hormones? Anti-inflammatory Sarsaparilla reduces pain and ⦠But at times even healthy food can make your symptoms worse. However, for most women in the industrialized world this is not the c⦠Cruciferous vegetables will be your saving grace when balancing your hormones. Flaxseeds. More than 80% of people with Cushingâs disease report weight gain as a symptom. 1. Similarly during postpartum, you would experience its own set of symptoms due to hormonal fluctuations. If you find yourself frequently obsessing over food, or fear that you arenât really in control of your food choices, you may be struggling with food addiction. Good thing it is possible to regulate your hormones easily and efficiently by adding the right food items in your food regimen. #1. An adaptogen that helps the body handle stress and strengthens the digestive system, which aids in absorption and assimilation of nutrients from food. Consuming an adequate amount of protein at each meal is extremely important, as protein influences the release of hormones that control appetite and food intake.. Top 10 Supplements to Balance Hormones NaturallyDIM (Diindolylmethane)CHASTEBERRY (Vitex agnus-castus), or VITEX.BLACK COHOSH (Cimicifuga racemosa)MAGNESIUM.B-COMPLEX VITAMINS (B1, B2, B3, B6, B12)ASHWAGANDHA + RHODIOLA ROSEA.OMEGA-3 FATTY ACIDS (DHA & EPA)HOPS (Humulus lupulus L.)MACA (Lepidum meyenii)PROBIOTICS. 5. Ultimately food can be considered as a cocktail of âhormones.â A hormone is a regulatory compound produced in one organ that is transported in blood to stimulate or inhibit specific cells in another part of the body. Oat Bran Oats are a good source of many nutrients including vitamin E, zinc, selenium, copper, iron, manganese, and magnesium. Acne vulgaris, or hormonal acne, affects up to 80% of people at some point between the ages of 11 and 30. Soy products. You have to eat healthy and exercise daily. The hormones given to these animals find their way into our foods. Seed Cycling for Hormone Balance. Vitamin B6 also plays a role in keeping the bodyâs hormone balance. This spice helps slow the development of estrogen-dependent cancer cells. A good balance of minerals and hormones, can help in improving your insulin sensitivity and prevent sudden blood sugar spikes.3. Targeted antioxidants and aphrodisiacs support libido and ease menstruation. Yin/Yang imbalance â All foods are considered to have either expansive qualities (yin) or contractive qualities (yang). When out of balance, other hormones that can influence weight gain include thyroid hormone, leptin, ghrelin (the âhunger hormoneâ), estrogen, and testosterone. 6. âFoods that contain excessive amounts of estrogen, such as animals given hormones during their growth, also significantly impact hormonal balance,â warns Dr. Cook. Summary: Consuming too many or too few calories can lead to hormonal imbalances. Hormonal signaling involves the following steps: Biosynthesis of a particular hormone in a particular tissue. Whether the hormonal imbalance is caused by too much stress at work or something else, balancing your hormones is essential for a healthy lifestyle. HORMONE-BALANCING FATS Fat is crucial for hormone balance. Ginger and garlic are anti-inflammatory features of fenugreek, fennel, turmeric, and coriander seeds and contribute to the female bodyâs hormonal balance. 11 In fact, researchers from Harvard say that having excess abdominal fat can also disrupt your hormones even more. 5. Fruits & vegetables (and I emphasize vegetables!) Omega-3 fatty acids (1,000 milligrams of fish oil/cod liver oil daily or 3,000 milligrams of flaxseed or chia seed oil). Here are the best foods, herbs, and nutrients for hormonal imbalances causing period issues and PMS. Yikes! They are loaded with antioxidants and phytonutrients that help prevent and reduce inflammation as well as lower levels of stress. Ghrelin on the other hand is a fast-acting hormone, seemingly playing a ⦠5 ways to balance your hormones naturally. Cruciferous vegetables will be your saving grace when balancing your hormones. Fiber is one of the foods to eat during ovulation. How to improve liver enzyme levels, insulin sensitivity, detoxification, decrease inflammation and support hormonal balance by supporting the liver with food and herbals. Here are the best foods, herbs, and nutrients for hormonal imbalances causing period issues and PMS. Try organic fermented soy like miso and tempeh, beans, and legumes, as well as ground flax seedsâwhich also have fiber and other beneficial constituents for hormone balance. Natural ways to balance your hormones include eating anti-inflammatory polyunsaturated fats, reducing your exposure to endocrine disruptors , getting adequate sleep , and using supplements to fill in any nutritional gaps related to gut health and vitamin D ⦠They also help in reducing bad cholesterol in the body. Foods like broccoli and brussels sprouts contain indole-3 carbinol, which helps your liver get rid of excess estrogen. And they're very sensitive, especially when you're eating the wrong foods, getting poor sleep, exposing yourself to toxins, and all the things that go with being a human. Food tips to maintain hormonal balance in women (video in Marathi). Vitamin B6 Vitamin B6 is a water soluble vitamin found in foods such as beans, nuts, legumes, meats and whole grains. How to balance your hormones with exercise. The endocrine system is in charge of coordinating the relationship between different organs and List of The Worst Foods for Womenâs Hormone Balance 1. Try to stay away from them during and after Christmas! 6 DRINKS FOR NATURAL HORMONE BALANCE. hormone development, supplementing your diet with a multivitamin that includes zinc can help decrease estrogen dominance and restore hormonal balance. The good news? Eat less processed foods, fried foods, sugar, and artificial sweetenersâand drink less alcoholâto avoid hormone imbalances. Turns out, red meat can create hormonal imabalance. Here are some of the best foods to balance your hormones and bring them back to normal. Instead of buying a whole canister, I recommend giving it a try first (and figure out if maca loves you), by ordering the free 4-day trial pack of her Mighty Maca Plus superfoods blend. Brown rice contains phytoestrogens that can help balance estrogen levels. If you think you might have a hormonal imbalance, start by talking to a healthcare professional about your symptoms and potential underlying causes.
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