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Its important to be patient & consistent with the use, as its effects may take time to become noticeable

[264] The rapid response underscores a bidirectional relationship for autoimmune diseases, including SLE, where the dysregulated immune system exacerbates oral inflammation and dysbiosis of the oral microbiota

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But it doesnt happen out of the blue: we can generally follow up to find the culprit

Sure, eating less and exercising more are the foundational efforts, but to really set yourself up for success, why not get a little help