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As a result, lab values may seem perfectly normal even though your tissues are still deprived of the essential nutrient required for maintaining energy levels and supporting brain function

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In vivo and in vitro studies have reported that EE itself is biotransformed for excretion mainly by glucuronidation (85%) and sulfation (12%) and that hydroxylation (mainly by CYP3A4 and CYP2A9 on C2) occurs only at low levels 22