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Lancet Haematol 2017

In eczema healing, a Herxheimer reaction may happen during treatments that target root causes, such as: Gut infections (e.g., bacterial overgrowth, Candida overgrowth) Detoxification protocols (e.g., liver support, toxin elimination) Immune system activation (e.g., addressing underlying imbalances) Symptoms of a Herxheimer Reaction Herxheimer reactions can vary in intensity and duration, but common symptoms include: Increased eczema flares (redness, itching, swelling) Flu-like symptoms (fever, chills, body aches) Fatigue or brain fog Headaches Digestive upset Mood changes (irritability, anxiety) While these symptoms can be unpleasant, they are usually short-lived, lasting anywhere from a few hours to a few weeks

Antibody tests: anti-thyroid peroxidase (anti-TPO): often elevated in autoimmune thyroid conditions like Hashimoto' thyroiditis