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In a study of 50 adults with insomnia, those who took ashwagandha for 8 weeks reported significant improvements in sleep quality, including longer sleep duration and reduced wakefulness during the night

Because INR testing is low burden and important, check a baseline INR and recheck within one to two weeks after starting Lcarnitine

Milk Thistle Extract: 100 mg

Reviews and case reports show good results for pain relief and improved function, but many of the studies are small, industry-funded, or do not follow patients for long periods (Williamson et al., 2021

A big study combined data from four trials and showed alpha lipoic acid greatly helped with pain and numbness