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Sexually active women should always use contraceptives with spironolactone since it is a strong teratogen (an agent that can cause birth defects)
10.1016/0047-6374(94)01535-T 14 BealM
Seim, H., Loster, H., Eds

Metabolic plasticity underpins innate and acquired resistance to LDHA inhibition
Archived from the original on March 8, 2014

However, there is still no clear evidence if and how acetylcarnitine supplementation alone can improve neuropsychiatric symptoms of long COVID
