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Avoiding specific trigger foods like spicy foods, citrus, chocolate, and high-fat meals in the evening also helps significantly

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L-Carnitine ameliorates methotrexate-induced oxidative organ injury and inhibits [PMID: 16463019] Laboratory literature summary: L-Carnitine ameliorates methotrexate-induced oxidative organ injury and inhibits leukocyte death

This is particularly important for older adults, who are at greater risk of sarcopenia, and for individuals aiming to maintain physical function and metabolic health during treatment

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