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The interaction risks include prolonged recovery time, respiratory depression, and unpredictable responses to anesthetic agents

Nat Rev Endocrinol (2020) 16(3):13546

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However, since greater increases in muscle carnosine are associated with greater exercise benefits (16), herein we have discussed several factors which may optimize the gains achieved using these current recommendations although further work is necessary to elucidate the most achievable methods by which to optimize the muscle carnosine response to BA supplementation

The two drugs target different parts of the diabetes physiology