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Unfortunately no control group, but I guess we assume each person is their own control and with 6+ months of amenorrhea likelihood of natural cycles returning without any change in habits is low

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A L-carnitina pode aumentar o risco de convulses em pessoas com epilepsia ou perturbaes convulsivas

Regular follow-ups with your provider ensure safe, effective treatment

Many community references include 2-4 week off-periods between cycles to allow fresh evaluation, although the rationale is community-derived rather than trial-validated