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In human studies conducted to date, no increased risk of thyroid cancer has been established, but the warning remains in place given the rodent data and the fact that long-term human data is still accumulating

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A strong Letter of Medical Necessity goes beyond simply listing your BMI and comorbidities

2018: A double-blind, placebo-controlled study among women receiving taxane-based chemotherapy to treat breast cancer found that 3 grams of acetyl-L-carnitine taken daily for 5.5 months significantly WORSENED symptoms of chemotherapy-induced peripheral neuropathy compared to placebo, and this difference persisted after 2 years [7][28]