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10) Hormonal and Endocrine Effects Because metabolic pathways interact closely with endocrine signaling, potential secondary hormonal effects may include: Thyroid function fluctuations Cortisol changes Insulin sensitivity alterations While some research suggests improved metabolic efficiency, endocrine dysregulation remains a theoretical concern without long-term human studies

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However, we do know that long-term exposure to poor air quality and certain pollutants can interfere with normal hormonal regulation in the body