Never discontinue or reduce psychiatric medication based on a supplement change without guidance from your prescriber
Additionally, the effects of carnitine on kidney function and renal safety should be carefully evaluated, especially in individuals with pre-existing kidney disease or those taking certain medications
The long-term risks of peptides like Sermorelin and Ipamorelin are not fully known
For the science behind NAD+, see What Is NAD+
Interestingly, in addition to proper supplementation support, another recommended treatment for cerebral folate deficiency is a dairy-free diet (something I advocate for in Hashimotos too), as mammalian milk is thought to contribute to folate receptor antibodies, and may block folate transport to the brain
Expression of Apurinic/Apyrimidinic endonuclease-1 (Ape-1) in h