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This is standard for all compounded medications and does not necessarily indicate a safety concern

This leads to persistent fatigue, weakness, and reduced exercise tolerance that significantly impacts quality of life

Recent findings also indicate that troglitazone inhibits bile acid amidation, resulting in the buildup of non-amidated bile acids, further disrupting bile acid homeostasis and increasing stress on hepatocytes [39]

Antioxidants (Basel) (2022) 11:1085

Phase I detoxification uses cytochrome P450 enzymes to break down toxins, but this process often creates highly reactive, intermediate metabolites that are actually more toxic than the original substance