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Eglseer D, Traxler M, Schoufour JD, Weijs PJM, Voortman T, Boirie Y, et al
Recommendations: Monitor INR closely in patients on warfarin Use with caution in patients with epilepsy Monitor thyroid function if symptoms develop Avoid during active chemotherapy References Anti-Hyperalgesic Efficacy of Acetyl L-Carnitine (ALCAR) Against Visceral Pain Induced by Colitis: Involvement of Glia in the Enteric and Central Nervous System
They are biological requirements
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After that, a lighter maintenance schedule often keeps things stable without overdoing it
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