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By situating plant-based nutrition within the broader landscape of thyroidbrain axis dysfunction, this review aims to provide a balanced framework for integrating nutritional strategies with conventional therapy, ultimately improving neurological outcomes and patient quality of life (Figure 1)

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7 Store cold: Refrigerate right away

Timing matters: take berberine with meals to reduce nausea and diarrhea, and separate its administration from semaglutide injections by at least 6-12 hours if possible to minimize overlapping peak effects on gastric motility