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Duan, D., Goemans, N., Takeda, S., Mercuri, E

2017 meta-analysis: A systematic review and meta-analysis of nine randomized controlled trials showed that ALCAR supplementation significantly decreased depressive symptoms compared to placebo (standardized mean difference 1.10, 95% CI 1.65 to 0.56), with effects comparable to established antidepressants like fluoxetine, particularly in older adults or those with treatment-resistant depression [5][30]

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Resting heart rate

The practice is easiest with Ozempic, which comes in a multidose pen, or with the glass vials that can be purchased directly from the drug manufacturers