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The Aggressive Shake: We mentioned it before, but it bears repeating

They disappeared because the machinery moved slowly and patients couldn't wait

Autoimmun Rev 12:11601165

The Collateral Damage: Allopregnanolone Allopregnanolone (ALLO) is synthesized in the brain from progesterone via a two-step pathway: Progesterone 5-dihydroprogesterone (via 5-alpha reductase) 5-DHP Allopregnanolone (via 3-HSD) Because 5-AR is the rate-limiting step, inhibiting it blocks ALLO productioneven when progesterone levels are adequate

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