Seek prompt or urgent referral to a dermatologist if there are red-flag features, including: suspected scarring alopecia (indicated by pain, erythema, scaling, or pustules on the scalp)
A clinical hierarchy: dont stack until youve earned the right to stack Before we even talk combinations, an evidence-led clinic typically wants these foundations in place: Diagnosis clarity: Obesity phenotype, insulin resistance, prediabetes/T2D, dyslipidemia, sleep apnea risk, NAFLD risk Baseline labs: A1c, fasting glucose/insulin (or at least glucose), lipids, CMP, CBC
Serum bile acid concentrations are normal or only mildly increased ( 40 g/mL), and long duration appear to be important risk factors
Our ability to make and maintain high levels of Glutathione is critical to recovering from chronic disease and heart disease