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Adrenal support is relevant when chronic HPA axis dysregulation drives elevated cortisol, which in turn suppresses progesterone and amplifies estrogen dominance

Activated charcoal dose in children is 1g/kg max 50g Antidote Intravenous NAC See indications in the list of scenarios below NAC can mildly elevate the INR to 1.3 if stable this is not the start of hepatic failure

From there, a few small shifts can go a long way: reintroducing anchor meals, focusing on protein at each meal, adding fiber gradually, and consider adding electrolytes to water, when needed, especially when sweating or losing extra fluid

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