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They slow down gastric emptying, leading to prolonged digestion

ALT change at week 24 averaged -2.2 IU/L, -13.3 IU/L, -13.7 IU/L, and -15.2 IU/L in the placebo, 1.2-mg, 1.8-mg, and 2.4-mg arms

Nov 16 2020;11(6):1510-1528

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In some cases, ashwagandha may: Increase thyroid hormone levels in hypothyroid individuals Decrease thyroid hormone levels in hyperthyroid individuals Help regulate the hypothalamic-pituitary-thyroid (HPT) axis A study on bipolar patients with elevated TSH levels found that ashwagandha supplementation led to a significant reduction in TSH levels

10.1016/j.bpc.2017.05.010 Biophys Chem