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The importance for prescribers to document and justify all prescribing decisions for unlicensed/off label use is paramount for good clinical governance standards

As a precautionary measure, the medication is contraindicated in patients with a personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2

A 2019 systematic review (87) identified three placebo-controlled interventions that examined the effect of oral supplementation with acetyl-L-carnitine (ALCAR

doi: 10.1093/cvr/cvad023 122 Garrido-MesaNZarzueloAGlvezJ

The staff is friendly , the Dr as well made me feel comfortable, I received a steriod shot on both knees a week apart