Helpful approach: Before starting treatment, record a personal baseline that may include sleep patterns, energy, exercise recovery, body measurements, weight, and other goals discussed with your provider
Jan 18, 2026 You lie awake at 2am
After the formation of an epoxyallylic radical, the enzyme hydroperoxide lyase, which should be more accurately termed a hemiacetal synthase, converts the epoxy intermediate into a vinyl ether and thence to a short-lived hemiacetal, which spontaneously decomposes into two short chain fragments, i.e., cis -3-hexenal and 12oxo- cis -9-dodecenoic acid, though the positions and geometry of the double bonds may change by chemical or enzymatic isomerization
Also, an important part of their activity can be attributed to the generation of diverse microbiome-derived metabolites (Setchell et al., 2002