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Some supplements or herbal extracts may cause side effects or interact with other medications

This is especially crucial for patients whose metabolic flexibility has been compromised, as it helps the body efficiently utilize stored fats for long-lasting energy, rather than relying solely on rapid, easily exhausted, and lactate-producing glucose stores

European Medicines Agency (EMA)

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However, a caveat related to this recommendation is that in patients with uncontrolled hypothyroidism, it can worsen the patient's clinical situation