53 Since the majority of cells express ERs, estrogen actions influence almost all tissues and are responsible for: a) homeostatic regulation, b) cell proliferation and apoptosis, c) liver protein expression, d) lipid metabolism, e) energy balance, f) glucose metabolism, g) immune and cardiovascular alterations, h) gonadotrophin feedback and gametogenesis, i) brain-neuronal development/memory processing and repair/neurodegeneration, j) bone growth, etc., 7,15,53,60 including estrogens positive (agonist) or negative (antagonist) actions on skin, especially in women
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& Peebles, R
Its a deep, cellular exhaustion that can leave you feeling drained even after a full night's rest, a key indicator that something more is going on