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During perimenopause and menopause, the following autoimmune symptoms often intensify: Chronic fatigue Brain fog Muscle and joint pain Skin rashes or irritation Hair loss (especially with Hashimotos) Digestive issues Mood swings or depression These overlaps can make it hard to separate whats caused by menopause versus autoimmune disease without proper testing

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alginolyticus through comparison in medium with or without pyruvate

10.1016/j.jnutbio.2014.11.008 70 JiangS.ZhaoY.ZhangT.LanJ.YangJ.YuanL.et al (2018)