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(Hoerger et al., 2025)

The pathophysiological role of estrogens in the initial stages of pregnancy: molecular mechanisms and clinical implications for pregnancy outcome from the periconceptional period to end of the first trimester

It should further be noted that this study refers to off-label prescribing in the sense of prescriptions issued outside of the indication

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In addition to its role in mitochondrial activity, acetyl L-carnitine (ALC) is involved in the production of the key brain neurotransmitteracetylcholine and is also able to donate its acetyl group in a number of other biochemical reactions