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"ALCAR and depressive symptoms: systematic review and meta-analysis." Psychosom Med 2018;80:154-9
doi:10.1515/CCLM.2007.362
Carnitine, carnitine acetyltransferase, and glutathione in Alzheimer brain
Steps: Review all medications with your pharmacist or physician look specifically for hepatotoxic potential Audit supplements: high-dose vitamin A, green tea extract (EGCG), kava, and weight-loss supplements are common culprits Check acetaminophen intake across all sources (many combination cold/flu products contain it) Consider whether statins are contributing mild ALT elevation (less than 3x upper limit) is common with statins and usually benign, but should be monitored Document your daily supplement stack and discuss with your provider If you started a new medication or supplement within 3 months of liver enzyme elevation, its the prime suspect 8
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