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Microbiology (Reading) 161:11611174 Naseri M, Mottaghi Moghadam Shahri H, Horri M, Esmaeeli M, Ghaneh Sherbaf F, Jahanshahi S et al (2016) Absolute and relative carnitine deficiency in patients on hemodialysis and peritoneal dialysis

[10] The logic: if the peptide declines with age and its gene expression profile favors tissue repair, restoration of youthful levels might restore youthful repair capacity

These include: Neurological symptoms : tingling or numbness in hands and feet (peripheral neuropathy), difficulty walking or balance problems, memory difficulties, or mood changes including depression Haematological signs : persistent fatigue, weakness, pale or jaundiced skin, or shortness of breath Glossitis : a sore, red, smooth tongue Cognitive symptoms : difficulty concentrating, confusion, or "brain fog" Seek urgent medical attention if you experience rapidly worsening neurological symptoms, significant difficulty walking, severe paraesthesia, or marked cognitive decline, as these may require immediate assessment

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As a precaution, women planning a pregnancy are advised to consult their physician before use