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If improvement is minimal, add bismuth subsalicylate (Pepto-Bismol) after meals and consider discussing slower dose titration with your provider

It plays role of a sulfhydryl (SH) group provider for direct scavenging reaction catalyzed by Glutathione peroxidise and as a scavenger of vitamin E and vitamin C radicals

Those free radicals are actually toxic to all the embryonic membranes and embryos itself and the quality of the sperm and the egg itself

L-carnitine may modestly improve the ratio of fat loss to muscle loss by enhancing fatty acid oxidation, reducing the body reliance on protein breakdown for energy