Functional medicine practitioners often assess gut permeability (leaky gut) and microbiome composition, addressing inflammation that may be contributing to fatigue, mood changes, or skin dullness
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With respect to SSRIs, citalopram is metabolized by CYP 2C19 and 3A4 [33], fluoxetine by 2D6, 3A4 and 2C9 [33], fluvoxamine by 1A2 and 2D6 [33], escitalopram by 2C19, 2D6 and 3A4 [16], and sertraline by 2D6, 3A4, 2C9 and 2C19 [33]
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Or are there better options out there