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Fluticasone can cause irritation of the throat and vocal cords, leading to hoarseness or a sore throat

For 6 months, they were given either: 100 milligrams of Aceytl-L-Carnitine, 530 mg of omega-3 fatty acids, and 10 mg of CoQ10 per day (51 patients) Placebo (soy oil = 55 patients) Supplementation was then discontinued and the patients were followed up for another 6 months to see if the effects of supplementation remained

This is a positive adjustmentnot a side effectbut it underscores why integrated medical oversight matters

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Black coffee is a fasting staple as long as you dont add cream, milk, or sugar