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I asked Peter Doshi, one of the authors of the Cochrane report about this issue of transmission and here is what he wrote me: Roches prophylaxis trials were not designed to answer the question of transmission
Foye WO
Endocr J 2024;71:571-582
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Potential Side Effects and Precautions Although this combination is generally considered safe for the majority of individuals, it is essential to remain cognizant of potential side effects: From Caffeine Jitters or anxiety Increased heart rate Sleep disturbances From L-Carnitine (rare) Mild stomach discomfort Fishy body odor (at high doses) Avoid taking this combination late in the evening to prevent sleep disruption
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