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doi: 10.1136/gpsych-2023-101446 111

Similarly, antibiotics containing pivalic acid bind to carnitine and force the body to excrete it, effectively robbing the body of its free carnitine pool [12] [13]

The doctors I have spoke to have advised me not to get the second dose

While skeletal muscle detoxifies ammonia, hyperammonemia decreases serum BCAA and increases myostatin levels, both of which result in inhibition of mammalian target of rapamycin signaling and decreased protein synthesis [41, 42]