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Those risks include hypoglycemia (IGF-1 analogs lower blood glucose independently of insulin), organ enlargement with chronic supraphysiological dosing, and unpredictable receptor cross-reactivity
Without supplements, vegans and vegetarians may experience reduced carnitine levels
Obsessive-compulsive disorder (OCD): An RCT in 48 patients found that NAC (2,400 mg/day) as an add-on to fluvoxamine significantly improved Yale-Brown OCD Scale scores compared to placebo over 12 weeks (Afshar et al., J Clin Psychopharmacol, 2012) [72]
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