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These symptoms typically occur during treatment initiation or dose escalation and often diminish over time as the body adjusts to the medication

L-Carnitine has been suggested to support muscle preservation during calorie-restricted periods

Reduced activity of endogenous antioxidant enzymes such as SOD or GPx and increased accumulation of lipid peroxides may also correlate to more severe cases of endometriosis [59]

However, that study also found that approximately 30% of oral dose of NAC was excreted through the kidneys [4], whereas, in the present study, only 3.73.8% of the oral dose of NAC was found to be excreted in urine

Despite these promising advances, clinical validation remains limited by small cohort sizes, short follow-up durations, and inconsistent trial designs

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