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It is from citrus fruit, no sugar added

Progesterone induces progesterone receptor gene (PGR) expression via rapid activation of protein kinase pathways required for cooperative estrogen receptor alpha (ER) and progesterone receptor (PR) genomic action at ER/PR target genes

In addition, clinical studies have suggested that DSIP may also have beneficial effects on stage-4 sleep, which is also known as REM sleep and the phase when dreaming occurs [3, 4]

Additionally, Elders expects that you will use your knowledge, experience and best judgement in relying on any recommendation and determining whether the recommendation is, and continues to be, appropriate

So instead of giving energy directly, it gives your body the ingredient to make it

Karakasis P et al