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Only the L-isomer should be used clinically, because exposure to the racemic D, L-carnitine has produced reversible myasthenia in uremic patients
Ko JY, Farr SL, Tong VT, Creanga AA, Callaghan WM
Calcitonin in Metabolic Disease It is difficult to evaluate the role of endogenous calcitonin in metabolic diseases for a number of reasons: 1) only few studies have applied human calcitonin in humans, 2) there are currently no antagonists available which selectively target the monomeric calcitonin receptor (26), and 3) studies applying the more potent salmon calcitonin reveal effects attributable to amylin receptor activity as well (84)
This means you need to be somewhat self-directed in managing side effects
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