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J Clin Oncol 31(20):2627 Kotil K, Kirali M, Eras M, Bilge T, Uzun H (2007) Neuroprotective effects of acetyl-L-carnithine in experimental chronic compression neuropathy

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The live probiotics are generally more effective than heat-killed preparations for mechanisms requiring metabolic activity (e.g., SCFA production, immune modulation), although toxin binding may persist after heat inactivation (98)

The short answer is nuanced

All medication has side effects [...] You look at the risks and make an informed decision along with medical consultations and advice [The] same as literally any other drug

Helium was used as the carrier gas