Because these medications target related but distinct mechanisms, they can theoretically complement each other
Generally, biologic activity of ATRA such as gene expression or inhibition through direct DNA interaction is being exerted by binding to nuclear retinoid receptors (ligand-activated transcription factors) like (all- trans ) retinoic acid receptors (RARs) or retinoid X receptors (RXRs) which together build a heterodimer [83, 96,97,98,99]
On one hand, future clinical trials should incorporate mood outcomes as pre - specified endpoints and employ standardized measurement tools to avoid the low sensitivity resulting from reliance on self - reported adverse events
While the body needs a small amount of sodium to function correctly, excessive intake can raise blood pressure, a risk factor for heart disease
They don't replace good training and nutrition
This is why we emphasize developing sustainable eating and exercise habits while on the medication