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Furthermore, because ALCAR can influence thyroid hormone activity by blocking the entry of thyroid hormone into the cell nucleus, individuals with hypothyroidism or those taking thyroid replacement medications should use ALCAR with caution and under medical supervision

Shel and her team may adjust the treatment plan after a few months

Acta Neurobiol Exp 56:597609 Inazu M, Matsumiya T (2008) Physiological functions of carnitine and carnitine transporters in the central nervous system

The role of yeast Saccharomyces cerevisiae in supporting gut health in horses: An updated review on its effects on digestibility and intestinal and fecal microbiota