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While clinical trial data confirms the effectiveness of ongoing treatment, real world practice highlights a more complex picture - patients and providers are experimenting with medication tapering, spacing, switching, and other adaptations to make therapy more sustainable

However, healthcare professionals recommend avoiding the herb if you: are pregnant are breastfeeding or chestfeeding have an autoimmune disease, such as lupus have rheumatoid arthritis have type 1 diabetes, and Hashimotos thyroiditis may need to avoid it

Wu H, Deng X, Shi Y, Su Y, Wei J, Duan H

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