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After she agreed it was something that was worth trying (alongside a healthier lifestyle, importantly), she prescribed me the lowest dose to start

Curr Pharm Des 23:12651272 Clifford WM (1922) The effect of cold storage on the carnosine content of muscle

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The combination may amplify gastrointestinal discomfort in susceptible individuals, though this represents an additive effect rather than a true pharmacological interaction

When appetite decreases, protein intake often falls as well, which can lead to problems