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Most chanca piedra supplements have an expiration date thats set about 2 years after production
Fukusako T, Negoro K, Tsuda N, Kato M & Morimatsu M (1995): A case of secondary carnitine deficiency due to anorexia nervosa and severe liver damage
I also really like the alpha lipoic acid in this which is a well known antioxidant too
In those situations, IV therapy may be worth discussing as a more structured clinical option
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