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study showed no significant elevation of cortisol or prolactin even at doses 200 times the effective GH-releasing dose (4)

Glucosuria also enhances gluconeogenesis and ketogenesis, part of an SGLT2 inhibitor induced shift to a fasting state. Ketogenesis is hypothesized to be a direct mediator of cardioprotection with SGLT2 inhibition since ketone bodies are an efficient energy source with the potential to improve myocardial energy dynamics and exert direct anti-inflammatory effects [1820]

Advance: lactose

Marigold flower extract ( , standardized to provide 10mg of lutein and 2mg of zeaxanthin, two carotenoids that complement astaxanthin and have substantial human research behind them