Dulse (Palmaria palmata), a red seaweed found along the rocky northern coasts of the Atlantic and Pacific oceans, has been a staple in various cultures for centuries. Known for its unique, bacon-like flavor, this sea vegetable is not just a culinary delight but also a nutritional powerhouse. Modern research has begun to uncover the myriad science-backed health benefits of dulse, making it a rising star in the world of superfoods. Rich in essential nutrients like iodine, potassium, and plant-based protein, dulse supports thyroid function, reduces inflammation, and promotes metabolic health. Its high antioxidant content further helps combat oxidative stress, potentially lowering the risk of chronic diseases. Whether consumed raw, dried, or as a supplement, dulse offers a versatile and health-boosting addition to any diet.
What is Dulse ?
Dulse is a red seaweed that grows along the northern coasts of the Atlantic and Pacific oceans. It is highly valued for its nutritional content, particularly as a source of protein and dietary fiber. The protein content in dulse varies seasonally, with the highest levels observed in winter and spring. Dulse is also rich in essential amino acids, although its protein digestibility is relatively low due to the presence of non-proteic fractions and fibers. Additionally, dulse contains significant amounts of dietary fibers, including soluble fibers that are fermented by human gut bacteria into short-chain fatty acids. Beyond its nutritional benefits, dulse has been found to possess anti-inflammatory and antioxidant properties, which can inhibit the activation of human neutrophils and reduce oxidative stress. It also shows potential in mitigating diet-induced obesity by improving insulin response and reducing inflammation. However, caution is advised for individuals with renal impairment due to its high potassium content, which can lead to hyperkalemia. Overall, dulse is a versatile seaweed with promising health benefits and applications in both nutrition and medicine.
Nutritional Profile of Dulse
Dulse is a nutritional powerhouse, providing a wide array of essential nutrients in a compact form. This red seaweed is particularly valued for its dense concentration of vitamins, minerals, and other beneficial compounds. Its nutrient-rich profile makes it an excellent addition to a balanced diet, offering numerous health benefits without the need for large quantities. Whether consumed fresh, dried, or as a supplement, dulse is a versatile food that can enhance overall nutritional intake.
Rich Source of Vitamins and Minerals
Dulse is an exceptional source of vital vitamins and minerals that are crucial for maintaining good health. It contains significant amounts of vitamins A, C, E, and B12, which are essential for various bodily functions, including immune support, skin health, and energy production. Additionally, dulse is packed with minerals such as iodine, potassium, calcium, and magnesium, which play key roles in thyroid function, electrolyte balance, bone health, and muscle function. This rich nutrient profile makes dulse a valuable addition to any diet.
Vitamins A, C, E, and B12
The vitamin content in dulse is impressive, particularly its levels of vitamins A, C, E, and B12. Vitamin A is crucial for vision and immune function, while vitamin C is a powerful antioxidant that supports skin health and immune defense. Vitamin E contributes to skin health and protects cells from oxidative damage. Notably, dulse is one of the few plant sources of vitamin B12, which is essential for nerve function and the production of red blood cells. This makes dulse especially beneficial for those following a plant-based diet.
Minerals: Iodine, Potassium, Calcium, Magnesium
Dulse is rich in essential minerals, including iodine, potassium, calcium, and magnesium. Iodine is vital for thyroid health and hormone production, while potassium helps regulate blood pressure and fluid balance. Calcium is essential for strong bones and teeth, and magnesium supports muscle and nerve function. The presence of these minerals in dulse helps meet daily nutritional requirements and supports overall health and well-being.
High Protein Content
In addition to its vitamin and mineral content, dulse is also a notable source of plant-based protein. This makes it an excellent dietary option for vegetarians, vegans, and anyone looking to increase their protein intake without relying on animal products. The protein in dulse supports muscle repair and growth, making it a valuable food for active individuals and athletes.
Low in Calories and Fat
Dulse is naturally low in calories and fat, making it an ideal food for those looking to maintain or lose weight. Despite its low caloric content, dulse is nutrient-dense, providing a wealth of vitamins, minerals, and protein. This makes it a satisfying and healthful addition to meals, helping to promote satiety and prevent overeating.
Presence of Antioxidants and Fiber
Dulse is also rich in antioxidants and dietary fiber, both of which contribute to its health benefits. Antioxidants help protect the body from oxidative stress and reduce the risk of chronic diseases, while dietary fiber supports digestive health and helps maintain healthy blood sugar levels. The combination of antioxidants and fiber in dulse makes it a powerful food for promoting overall health and well-being.
Types of Dulse
Dulse is a type of red seaweed celebrated for its rich nutritional profile and unique flavor. However, dulse is not a one-size-fits-all sea vegetable; it comes in various forms, each with its own distinct characteristics and benefits. From the well-known Palmaria palmata found in the Atlantic to the softer Palmaria mollis of the Pacific, each variety offers a unique culinary and nutritional experience. In this listicle, we explore the different varieties of dulse, shedding light on their specific traits, habitats, and uses, helping you discover the best type of dulse to incorporate into your diet.
1. Palmaria palmata
Palmaria palmata, commonly known as dulse, is the most recognized variety of this red seaweed. It grows along the rocky northern coasts of the Atlantic and Pacific oceans. Dulse is known for its deep crimson color and distinctive, slightly leathery texture. It has been a staple in traditional diets in regions like Ireland, Iceland, and Atlantic Canada, where it is often eaten dried or added to various dishes for its rich, umami flavor. This variety is particularly valued for its high nutritional content, including vitamins, minerals, and protein.
2. Palmaria mollis
Palmaria mollis, also referred to as Pacific dulse or red ribbon, is a closely related species found primarily along the Pacific coast. Unlike Palmaria palmata, which thrives in colder Atlantic waters, Palmaria mollis is adapted to the Pacific’s unique conditions. It shares many of the same nutritional benefits and culinary uses as its Atlantic counterpart, making it a versatile ingredient in various dishes. The fronds of Palmaria mollis are typically softer and more delicate, adding a unique texture to salads, soups, and snacks.
3. Dilsea carnosa
Dilsea carnosa is another variety of red seaweed that is often compared to dulse due to its similar appearance. However, Dilsea carnosa is more leathery and has broader blades that can grow up to 30 cm long and 20 cm wide. Unlike Palmaria palmata, Dilsea carnosa does not branch and lacks the wedge-shaped proliferations from the edge of the frond. This variety is less commonly used in culinary applications but still offers a rich source of nutrients.
4. Grateloupia turuturu
Grateloupia turuturu is a red seaweed that can sometimes be mistaken for dulse due to its similar morphology. This species has a more gelatinous texture and is often found in areas where Palmaria palmata is also present. As the range of Grateloupia turuturu expands, it becomes more important to distinguish it from dulse. This variety is used in various culinary applications, particularly in Asian cuisines, where it is valued for its unique texture and nutritional benefits.
5. Rhodymenia palmata var. mollis
Rhodymenia palmata var. mollis was once considered a variety of Palmaria palmata but is now recognized as a distinct species. This variety is known for its softer and more flexible fronds, which can be narrower and more finely dissected compared to the typical dulse. It is found in similar habitats and offers comparable nutritional benefits, making it a valuable addition to the diet.
6. Creathnach
Creathnach is an Irish term used to describe a smaller, narrower, and darker form of dulse. This variety typically grows on mussel shells or attached to kelp stipes and is also known as shell dulse. It is particularly popular in Ireland, where it is traditionally harvested and consumed. Creathnach offers the same rich nutritional profile as other dulse varieties, making it a nutritious and flavorful addition to various dishes.
Science backed health benefits of Dulse
Dulse is a nutritional powerhouse that has been consumed for centuries. Modern science has begun to uncover the myriad health benefits of this unique sea vegetable, making it a rising star in the world of superfoods. From providing essential iodine for thyroid function to offering potent anti-inflammatory properties, dulse is packed with nutrients that support overall well-being. In this article, we delve into the science-backed health benefits of dulse, exploring how this versatile seaweed.
1. Manage inflammatory conditions
Dulse has shown promising potential in managing inflammatory conditions, thanks to its rich content of bioactive compounds. This red seaweed is packed with antioxidants, including vitamins C and E, which help neutralize free radicals and reduce oxidative stress—a key contributor to inflammation. Additionally, dulse contains unique polysaccharides and polyphenols that exhibit anti-inflammatory properties, potentially alleviating symptoms of chronic inflammatory diseases such as arthritis and inflammatory bowel disease. By incorporating dulse into your diet, you can harness these natural compounds to support your body’s fight against inflammation and promote overall health.
What Research Says?
- Dulse contains phycobiliproteins and chlorophyll a, which, when extracted and digested, significantly reduce pro-inflammatory mediators like tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), and nitric oxide (NO) in LPS-stimulated murine macrophages. These components also mitigate acute inflammation in animal models.
- A phenolic extract from dulse (DULEXT) reduces the activation of primary human neutrophils, decreasing the expression and release of pro-inflammatory cytokines (IL-1β, IL-6, TNF-α) and reactive oxygen species (ROS).
- In a study on diet-induced obesity in mice, dulse supplementation improved metabolic parameters, reduced plasma inflammatory marker MCP-1, and mitigated gut microbiome shifts associated with high-fat diets. This suggests that dulse can help manage inflammation related to obesity.
- A human study found that consuming dulse-enriched bread increased serum C-reactive protein (CRP), triglycerides, and thyroid-stimulating hormone (TSH). However, these changes remained within normal clinical ranges, indicating a potential immunostimulatory effect rather than a clear anti-inflammatory benefit.
2. Aids in Weight Management
Dulse can be a valuable ally in weight management due to its low calorie and fat content combined with its high nutrient density. Rich in dietary fiber, dulse promotes a feeling of fullness and helps regulate appetite, reducing the likelihood of overeating. The fiber content also supports healthy digestion and stable blood sugar levels, which are crucial for maintaining a healthy weight. Additionally, dulse contains essential minerals like iodine, which supports thyroid function and metabolic rate, further aiding in weight management. Incorporating dulse into your diet can provide essential nutrients without adding excess calories, making it an excellent choice for those looking to manage their weight effectively.
What Research Says?
- Dulse has a high protein content and contains various essential amino acids, minerals, and bioactive compounds. However, it has lower water holding and swelling capacities compared to other seaweeds, but higher oil holding capacity, which may contribute to its functional properties in weight management.
- Dulse-fed mice showed lower feed efficiency, meaning they gained less weight despite higher feed intake. This group also exhibited an improved early-phase insulin response compared to those on a high-fat diet and those fed with wakame.
3. Reduce oxidative stress
Dulse is a potent ally in reducing oxidative stress, thanks to its rich array of antioxidants. This red seaweed contains high levels of vitamins C and E, both of which are powerful antioxidants that help neutralize free radicals—unstable molecules that can damage cells and contribute to chronic diseases. Additionally, dulse is packed with polyphenols and carotenoids, which further enhance its antioxidant capacity. By mitigating oxidative stress, these compounds help protect cells from damage, support immune function, and reduce the risk of conditions such as cancer, cardiovascular diseases, and neurodegenerative disorders. Incorporating dulse into your diet can thus play a significant role in promoting overall health and longevity by combating oxidative stress.
What Research Says?
- Dulse extracts exhibit significant antioxidant activity, including hydroxyl and stable free radical scavenging, and inhibition of lipid peroxidation. This activity is attributed to the reducing activity and polyphenol content of the extracts.
- The antioxidant activity is associated with phenolic functional groups with reducing activity, which are aqueous/alcohol-soluble compounds.
4. Aids in digestion
Dulse is highly beneficial for aiding digestion, owing to its rich dietary fiber content. Fiber is essential for maintaining a healthy digestive system as it adds bulk to the stool, facilitating regular bowel movements and preventing constipation. Moreover, the soluble fiber in dulse acts as a prebiotic, nourishing the beneficial bacteria in the gut, which play a crucial role in digestive health and overall well-being. These gut-friendly bacteria help break down food more efficiently, enhance nutrient absorption, and support a balanced gut microbiome. By incorporating dulse into your diet, you can promote smoother digestion, prevent gastrointestinal issues, and support a healthy gut environment.
What Research Says?
- The digestibility of crude dulse proteins is generally low, with in vitro studies showing a corrected digestibility of about 1.5% after pepsin and pancreatin digestion.
- The relative digestibility of crude dulse proteins is estimated at 29.52%, which is 56% of the digestibility of casein.
5. Maintain healthy skin
Dulse is a fantastic natural resource for maintaining healthy skin, thanks to its rich content of vitamins, minerals, and antioxidants. The high levels of vitamins A, C, and E in dulse are particularly beneficial for skin health. Vitamin A promotes cell turnover and helps keep skin smooth and youthful, while vitamin C is crucial for collagen production, enhancing skin elasticity and reducing the appearance of wrinkles. Vitamin E acts as a powerful antioxidant, protecting the skin from oxidative damage caused by environmental stressors like UV radiation and pollution. Additionally, the minerals in dulse, such as zinc and selenium, support skin repair and regeneration. Regular consumption of dulse can thus contribute to a radiant, healthy complexion by providing essential nutrients that nourish and protect the skin from within.
What Research Says?
- Dulse contains mycosporine-like amino acids (MAAs) such as palythine, shinorine, and porphyra-334, which have antioxidant properties that can protect skin cells from oxidative stress and UV damage.
- Dietary supplements with antioxidants, such as astaxanthin and high flavanol cocoa, have shown to provide photoprotection against UV-induced skin damage, improve skin hydration, and reduce skin roughness and scaling.
6. Enhance immune system
Dulse is a enhancer of the immune system, largely due to its rich concentration of vitamins, minerals, and antioxidants. This red seaweed is packed with vitamin C, a well-known immune booster that stimulates the production of white blood cells and enhances their function, thereby improving the body’s ability to fight off infections. Additionally, dulse contains vitamin A, which supports the integrity of the skin and mucous membranes, the body’s first line of defense against pathogens. The presence of zinc in dulse further bolsters immune function by aiding in the development and activation of immune cells. Moreover, the antioxidants in dulse help reduce oxidative stress, which can weaken the immune system. By incorporating dulse into your diet, you can provide your body with the essential nutrients needed to maintain a robust and responsive immune system.
What Research Says?
- Dulse extracts, particularly those containing phycobiliproteins and chlorophyll a, significantly reduce pro-inflammatory mediators such as tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), and nitric oxide (NO) in LPS-stimulated murine macrophages.
- Phenolic extracts from dulse (DULEXT) inhibit the activation of primary human neutrophils, reducing the expression and release of pro-inflammatory cytokines (IL-1β, IL-6, TNF-α) and reactive oxygen species (ROS).
- Dulse supplementation in high-fat diet-fed mice improves early-phase insulin response and reduces plasma levels of the inflammatory marker MCP-1.
How to Incorporate Dulse into Your Diet
Incorporating dulse into your diet is a simple and delicious way to boost your intake of essential nutrients. This versatile red seaweed is packed with vitamins, minerals, and antioxidants, making it a powerful addition to any meal. Whether you’re looking to enhance your breakfast, lunch, dinner, or snacks, dulse can be seamlessly integrated into various dishes. From dulse flakes and powders to cooking techniques and smoothie additions, there are countless ways to enjoy the health benefits of this superfood. In this article, we explore practical tips and delicious recipes to help you effortlessly incorporate dulse into your daily diet, ensuring you reap its numerous nutritional advantages.
Dulse Flakes and Powders
Dulse flakes and powders are incredibly versatile and easy to incorporate into a variety of dishes. You can find these products on platforms like Amazon, where they are available in different forms such as organic flakes and powders. Simply sprinkle dulse flakes over your scrambled eggs, popcorn, or mix them into vinaigrettes for a nutrient boost. Dulse powder can be added to smoothies, soups, or even used as a seasoning for various dishes, providing a mild, salty flavor that enhances the taste without overpowering it.
Cooking with Dulse
Cooking with dulse is a delightful way to infuse your meals with its unique smoky, umami flavor. Dried dulse can be pan-fried to create a crispy, bacon-like texture, perfect for making a vegan DLT (Dulse, Lettuce, Tomato) sandwich. You can also add whole dulse leaves or flakes to soups, stews, and casseroles, where it will dissolve and impart its rich flavor and nutrients. For a simple and delicious recipe, try incorporating dulse into mashed potatoes or mix it with butter and spread it on bread for a savory treat.
Dulse in Smoothies and Salads
Adding dulse to smoothies and salads is an effortless way to boost your intake of essential vitamins and minerals. For smoothies, blend a small amount of dulse powder with fruits, vegetables, and your favorite liquid base to create a nutrient-dense drink. In salads, raw dulse flakes or leaves can be mixed with greens, tomatoes, and other vegetables to add a salty, umami flavor. You can also rehydrate dried dulse and chop it into smaller pieces to sprinkle over salads, enhancing both the taste and nutritional value.
Practical Tips for Adding Dulse to Various Meals
- Breakfast: Sprinkle dulse flakes over scrambled eggs or mix them into your morning smoothie.
- Lunch: Add dulse to sandwiches, salads, or soups for a midday nutrient boost.
- Dinner: Incorporate dulse into stews, casseroles, or use it as a seasoning for grilled fish or vegetables.
- Snacks: Create dulse “bacon” by pan-frying dried dulse and enjoy it as a crunchy snack or topping for salads.
Simple and Delicious Recipes
- Dulse Mashed Potatoes:Mix rehydrated dulse with mashed potatoes, butter, and a splash of milk for a savory side dish.
- Dulse Slaw:Combine shredded cabbage, grated carrots, chopped dulse, and a creamy dressing for a nutritious coleslaw.
- Smoky Dulse Bacon:Rehydrate dulse, marinate it in soy sauce, maple syrup, and paprika, then pan-fry until crispy for a delicious vegan bacon alternative.
Selecting, Storing, and Preparing Dulse
When selecting dulse, opt for organic or wild-harvested varieties to ensure the highest quality. Store dried dulse in an airtight container in a cool, dark place to maintain its freshness and nutritional benefits. To prepare dulse, rinse it in cold water to remove any debris, then rehydrate it by soaking in water for a few minutes if using in salads or as a topping. For cooking, dulse can be used directly in its dried form or rehydrated depending on the recipe. By following these tips, you can maximize the health benefits of dulse while enjoying its unique flavor in a variety of meals.
Potential Side Effects and Precautions
While dulse is generally considered safe when consumed in typical food amounts, there are potential side effects and precautions to be aware of. Due to its high iodine content, excessive consumption of dulse can lead to thyroid dysfunction, either causing hypothyroidism or hyperthyroidism. Additionally, individuals with kidney problems should exercise caution, as dulse is rich in potassium, which can exacerbate hyperkalemia in those with compromised renal function. It’s important to source dulse from reputable suppliers to avoid contaminants such as heavy metals, which seaweeds can absorb from their marine environment. Always start with small amounts to monitor for any adverse reactions, particularly if you have underlying health conditions or are taking medications.
Iodine Sensitivity
Dulse is exceptionally high in iodine, an essential mineral for thyroid function. However, for individuals with iodine sensitivity or thyroid disorders, this can pose a risk. Excessive iodine intake can disrupt thyroid hormone production, potentially leading to conditions such as hyperthyroidism or hypothyroidism. Those with pre-existing thyroid issues should be particularly cautious and may need to limit their intake of dulse to avoid exacerbating their condition. Consulting with a healthcare provider before adding dulse to your diet is advisable to ensure it aligns with your specific health needs and to avoid adverse effects related to iodine sensitivity.
Dosage Recommendations
There is no universally established dosage recommendation for dulse, but moderation is key due to its high iodine and potassium content. A general guideline is to consume between 5 to 10 grams of dried dulse per day. This amount is typically sufficient to provide the nutritional benefits without the risk of excessive iodine or potassium intake. It’s advisable to start with smaller amounts and gradually increase, while monitoring for any adverse effects. Always refer to the product’s nutrition label for specific serving sizes and consult a healthcare provider for personalized dosage recommendations based on your health status and dietary needs.
Consultation with Healthcare Providers
Before incorporating dulse into your diet, especially in significant amounts, it’s crucial to consult with a healthcare provider. This is particularly important for individuals with thyroid disorders, kidney problems, or those taking medications that could interact with high iodine or potassium levels. A healthcare provider can help determine the appropriate amount of dulse for your specific health circumstances and ensure that it complements your overall dietary plan. They can also monitor for any potential adverse effects and adjust your intake as needed to maintain optimal health.
Conclusion
Dulse (Palmaria palmata) emerges as a remarkable superfood, offering a wealth of nutritional benefits and health-promoting properties. Its rich profile of vitamins, minerals, and antioxidants supports various bodily functions, from enhancing immune response to promoting healthy skin and aiding digestion. The unique combination of high protein content and low calorie count makes dulse an excellent choice for those seeking to manage their weight while ensuring adequate nutrient intake. Furthermore, its anti-inflammatory and antioxidant properties position dulse as a valuable ally in combating oxidative stress and chronic diseases. Overall, incorporating dulse into the diet not only enriches nutritional intake but also contributes to overall health and well-being, making it a versatile addition to contemporary diets.
ADDITIONAL RESOURCES
Here are some US organizations involved in seaweed research, along with their descriptions and URLs:
Led by Connecticut Sea Grant, the National Seaweed Hub provides resources and support for the domestic seaweed aquaculture industry. It collaborates with Sea Grant programs across multiple states to promote seaweed cultivation and research.
2. USDA National Institute of Food and Agriculture (NIFA)
NIFA supports seaweed research through programs like the Small Business Innovation Research Program (SBIR), which funds projects to develop new seaweed aquaculture practices and commercialize seaweed products.
3. GreenWave
GreenWave is a nonprofit organization that trains and supports regenerative ocean farmers. They focus on scaling seaweed and shellfish farming to create economic and environmental benefits. GreenWave offers resources such as the Ocean Farming Hub and Seaweed Source app to help farmers.
Recommendations for books on Dulse
Here are some recommended books on the research of Dulse (Palmaria palmata):
1. “Farm 2 Fork – How Dulse and Other Seaweeds Will Shape the Future of Food“
This book explores the potential of dulse and other seaweeds in revolutionizing food production due to their high protein content and low environmental impact.
2. “What is Dulse Seaweed? Ecology and Human History of Palmaria palmata“
This book delves into the ecological significance, history, and unique biological characteristics of dulse seaweed.
3. “The New Seaweed Cookbook: A Complete Guide to Discovering the Deep Flavors of the Sea“ by Crystal June Maderia and Josephine K. Spilka
This cookbook includes recipes and nutritional information on various seaweeds, including dulse, highlighting their benefits and culinary uses.
4. “Dulse: The Return of a Forgotten Food“ by Xa Milne
This book discusses the resurgence of dulse in modern cuisine and its historical use as a nutritious food source.
FAQS
- What is dulse and where does it come from?
Dulse is a type of red seaweed found along the rocky northern coasts of the Atlantic and Pacific oceans. It has been consumed for centuries in various cultures for its nutritional benefits and unique flavor. - What are the primary health benefits of dulse?
Dulse is rich in essential nutrients such as iodine, potassium, calcium, magnesium, vitamins A, C, E, and B12. It supports thyroid function, reduces inflammation, aids in weight management, helps maintain healthy skin, and enhances the immune system. - How does dulse support thyroid health?
Dulse is an excellent source of iodine, which is crucial for the production of thyroid hormones. These hormones regulate metabolism, and adequate iodine intake helps prevent thyroid disorders such as goiter. - Can dulse help with weight management?
Yes, dulse is low in calories and fat but high in dietary fiber, which promotes satiety and helps regulate appetite. Its nutrient density also supports overall metabolic health, making it a good addition to a weight management plan. - How does dulse contribute to heart health?
Dulse is rich in potassium and magnesium, which help regulate blood pressure and support cardiovascular health. Its antioxidant properties also reduce oxidative stress, lowering the risk of heart disease and stroke. - Is dulse beneficial for digestive health?
Dulse contains a significant amount of dietary fiber, which aids in digestion by promoting regular bowel movements and supporting a healthy gut microbiome. - What are the potential side effects of consuming dulse?
While dulse is generally safe, excessive consumption can lead to thyroid dysfunction due to its high iodine content. Individuals with kidney issues should also be cautious due to its potassium levels. Always consult a healthcare provider before making significant changes to your diet. - Can dulse improve skin health?
Yes, the vitamins and antioxidants in dulse, such as vitamins A, C, and E, help protect the skin from oxidative damage, promote collagen production, and support overall skin health. - How can I incorporate dulse into my diet?
Dulse can be added to your diet in various forms, including flakes, powders, and whole leaves. It can be sprinkled over dishes, blended into smoothies, added to soups and stews, or used as a seasoning. - Is dulse suitable for everyone?
While dulse offers numerous health benefits, individuals with thyroid conditions, iodine sensitivity, or kidney problems should consult a healthcare provider before consuming it. Pregnant and breastfeeding women should also seek medical advice to ensure it is safe for their specific health needs.
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