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This is why many users report that after 3 to 5 months: Sleep quality declines Fat loss slows or stops Energy levels drop Results plateau In some cases, biomarkers such as IGF-1 can even fall below baseline after prolonged overstimulation

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Tang WH, Wang Z, Levison BS, Koeth RA, Britt EB, Fu X, Wu Y, Hazen SL: Intestinal microbial metabolism of phosphatidylcholine and cardiovascular risk

A coordinated, individualized treatment plan is key