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Description
A sustained pH exceeding 4.7 indicates a microecological imbalance, such as bacterial vaginosis (BV), which is significantly correlated with an increased risk of PROM (163)

(2) Moderate: some RCTs or large cohort studies

If you are pregnant or breastfeeding, please consult with your doctor before using this medication

Other factors also impair estrogen clearance: liver congestion, gut microbiome composition (bacteria that produce beta-glucuronidase can reactivate excreted estrogen), cortisol (which shifts the livers priorities away from estrogen clearance), and alcohol use (which directly competes for liver detox capacity) [7]
