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Gut dysfunction. Includes small intestine bacterial overgrowth (SIBO), infections (e.g., parasites, pathogenic bacteria, viruses, candida), low stomach acid, bile, and enzyme production, intestinal permeability, and food intolerances. Nutrient imbalance. Includes deficiency of nutrients like vitamin B12, iron, folate, magnesium, zinc, EPA/DHA and fat-soluble vitamins (most common), and excess of nutrients like iron (less common). HPA axis dysregulation. Includes regulating the communication between the hypothalamus, pituitary, and adrenal glands, and balancing the production of hormones associated with those glands (e.g., DHEA, cortisol). Toxic burden. Includes exposure to chemicals (e.g., BPA, phthalates, etc.), heavy metals (e.g., mercury, arsenic), biotoxins (e.g., mold/mycotoxins, inflammation), or impaired detoxification capacity due to nutrient deficiency, GI issues, or other causes. Chronic infections. Includes “stealth” infections by tick-borne organisms (e.g., Borrelia, Babesia, Bartonella, Ehrlichia), intracellular bacteria (e.g., Mycoplamsa, Chlamydophila), viruses (e.g., HHV-6, HPV), and dental bacteria. Hormone imbalance. Includes hormones associated with metabolism (e.g., insulin, leptin), thyroid, and gonads (e.g., estrogen, progesterone, testosterone). Immune dysregulation. Includes autoimmunity, underactive immune function, and chronic, systemic inflammation. Cellular dysfunction. Impaired methylation, energy production, and mitochondrial function, and oxidative damage.
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