It's not that it exacerbates inflammation....it stimulates the immune system which can be contraindicated in autoimmune diseases...so if one already has inflammation, it could be exacerbated.
I would assume for some the response could be more extreme....but if one is having issues and is on melatonin, it could be a culprit. As well, best to not use it while on immune suppressing/biologic meds...
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