Past drugs had both modest efficacy (e.g., only 5% body weight loss) and/or serious side effects (e.g., fen-phen was used widely for weight loss in the 90s, but after the discovery that one of the components caused heart valve problems, it was recalled from the market2)
As adrenal insufficiency progresses, the lack of feedback inhibition leads to excessive ACTH secretion from the pituitary gland, which stimulates melanocytes in the skin and mucosa via MSH receptors, increasing melanin production and deposition
Intriguingly, this supports previous suggestions that the JAK2 pseudokinase interaction and inhibition of the KD is different between the receptor bound JAK2 and the receptor free JAK2 (90)
Conversely, injection of 75 mg/kg/day of EGCG inhibits major hepatic antioxidant enzymes while significantly elevating Nrf2 expression and its target genes (231)

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