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The constellation of SNS overactivity, parasympathetic withdrawal, glucocorticoid receptor insufficiency, and elevated inflammatory signaling may help account, at least in part, for the increased risk of metabolic syndrome, endocrine disorders, and vascular disease seen in bipolar patients (168, 177)

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Butler holds advanced certifications in functional medicine, hormone optimization, and medical weight management, and shes a certified Evexipel provider specializing in bio-identical hormone therapy