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This number is even high in those who have Hashimotos because of how thyroid function impacts insulin levels (19)

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Guasch-Ferr M, Hruby A, Toledo E, Clish CB, Martnez-Gonzlez MA, Salas-Salvad J, et al

For many, the morning before breakfast is ideal to support daytime energy and mental clarity, but taking it at night is also effective if it is at least two hours after dinner to aid nighttime detoxification and repair

Escitalopram half-life affects the length of time it stays in the system
