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It may worsen after eating or when lying down, as these positions can increase abdominal pressure

We highly suspect that GLUT4, which participates in epithelium glucose uptake and transport, not only contributes substantially to the glucose microenvironment in the uterine fluid but is also important for adequate glucose uptake of cells of the uterus per se to reach the state of uterine receptivity, therefore interfering with subsequent implantation

A typical cycling strategy might involve 6-8 week cycles of IGF1 LR3 use followed by equal or longer off-cycle periods

doi: 10.1038/s41598-019-49362-z 141 SimopoulosAP

No stool plus no gas for many hours