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J Clin Oncol 1992

There could be a variety of reasons

Macrolide antibiotics such as troleandomycin, erythromycin, and erythromycin derivatives are metabolized, apparently by CYP3A, to metabolites that complex the cytochrome P450 heme iron and render it catalytically inactive

However, it's always recommended to consult with a healthcare professional before starting any new dietary supplement

1989 Mar;29(1):52-6

Clinical Review by Gretchen Savery Gretchen Savery, Registered Psychotherapist (Qualifying), supports The Insight Clinics blog review and approval process by helping ensure content is accurate, thoughtful, and aligned with professional standards, including CRPO expectations around ethical communication, client confidentiality, and responsible mental health education