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Hydroxyzine (Evidence Strength: Grade C) One randomized controlled trial reported that more patients in the treatment group (23%) experienced clinically significant improvement compared to patients in the placebo group (13%) in response to oral hydroxyzine for six months (10 mg daily titrated to 50 mg daily over several weeks if tolerated)

Jain A, Saxena S, Khanna VK, Shukla RK, Meyer CH (2013) Status of serum VEGF and ICAM-1 and its association with external limiting membrane and inner segment-outer segment junction disruption in type 2 diabetes mellitus

Abdullahi M, et al

Carni 4000 is packed with 4000mg of L-carnitine per serving, designed to support your body's energy production and fat metabolism

While these combinations remain investigational, understanding potential protocols helps professionals stay current with emerging research directions

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