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Shah begin the conversation with the gut-hormone-brain connection, explaining how 40% of estrogen is recirculated through the gut, how the estrobolome, the collection of gut bacteria responsible for metabolizing estrogen, determines how much the body retains, and why declining estrogen in perimenopause and menopause triggers a cascade that loosens the tight junctions meant to keep food particles, toxins, and viruses from entering the bloodstream

They also offer testosterone treatments (enclomiphene, oral TRT, injectable TRT) and longevity medications (metformin, rapamycin, NAD+), though those fall outside the GLP-1 program pricing

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