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We are optimistic about cardiovascular and neurologic benefits, but we must also monitor nutrient status, muscle mass, and bone health

The tools with the strongest evidence for anxiety and mood support include consistent sleep (seven-plus hours, regular schedule), regular physical activity (both resistance training and cardiovascular exercise have demonstrated antidepressant and anxiolytic effects), therapy or coaching for cognitive and behavioral patterns, mindfulness or stress-management practices, and social connection

Addressing pelvic inflammatory drivers like endometriosis when gut symptoms are refractory

and Bhatt et al.)