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[DOI] [PubMed] [Google Scholar] 9.van Dijk J., David G

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Mitchell EJ, Thomson DM, Openshaw RL, Bristow GC, Dawson N, Pratt JA, et al

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While direct cortisol measurements were not specifically reported in the published safety trials, the comprehensive metabolic monitoring across 900+ participants showed no clinically significant hormonal changes, and the mechanism of action provides no pathway for cortisol stimulation

In a rat hemorrhage model established with 5% ethanol and dry yeast, catalpol intervention improved the pathological state of the rats (Zhang, 2023)