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The levels of hCS in amniotic fluid are similar to those of maternal serum in early pregnancy and increase gradually until term, but the increase is less than that observed in maternal serum

A follow-up study reported that the negative impact of 24-week treatment with ALCAR was still observed at week 52

targeted supplementation is most valuable when it addresses a specific nutritional shortfall confirmed by food tracking or lab results rather than used as a substitute for consistent lifestyle habits