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In rare cases, a cardiologist might supervise concurrent use with strict monitoring, but this is not standard practice

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3 Steroid hormone regulation of inflammation 3.1 Glucocorticoids The production of endogenous glucocorticoids is rapidly induced in response to inflammation and other stressors, but the secretion patterns are also affected by circadian and ultradian rhythms (85)

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Your provider will determine the right dose based on your goals lower doses for maintenance, higher doses for active skin repair or hair thinning