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Working with a registered dietitian who understands inflammatory arthritis can be particularly valuable, as they can provide personalised advice that accounts for any dietary restrictions, medication timing, and the anti-inflammatory potential of certain eating patterns

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Interestingly, its been shown that combining metformin with vitamin D seems to enhance the positive effects of metformin, including reducing thyroid antibodies, improving insulin sensitivity, and improving thyroid hormone levels

StatPearls - NCBI Bookshelf.

Epithalon Side Effects According to a 15-year follow-up study on patients who had received up to six courses of epithalamin treatment over a period of three years, researchers were not able to identify any major side effects or adverse events caused by the peptide [12]