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She was given Diet Coke, and because she didnt like carbonation, she drank just 1.5 liters about half the recommended amount used to break up a bezoar
This leads to poor data consistency and limited reproducibility
So instead of one obvious interaction, you get a bunch of subtle ones layered together
After a missed dose or resumption, levels shift based on the gap in dosing and then re-stabilize over approximately 4.3 weeks of consistent dosing
It is possible therefore that a poor gut biome, or indeed even the source of ALCAR/LC may be important in describing outcomes
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