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In this condition, even with cortisol circulating, the immune system continues to produce inflammatory cytokines, including interleukin-6 (IL-6), interleukin-1 (IL-1), and tumor necrosis factor- (TNF-) as described by Miller et al

Moreover, sleep deprivation altered the gut microbiota composition by suppressing beneficial bacteria such as Lactobacillus and Ruminococcus species

If a tablet is accidentally dropped or appears damaged, it should be discarded and a new tablet used

Medical professionals must carefully consider each patients specific needs and concerns and thoroughly discuss the potential side effects and practical considerations associated with both treatments before making a recommendation

Lim, K., et al