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It can lower blood sugar, potentially leading to hypoglycemia if you are also taking other diabetes medications

( b ) Propionylcarnitine abundance in cells cultured in normal media or under glutamine starvation (GS) and supplemented with KG (n = 8 technical replicates representative from 3 independent experiments in each cell line pair)

The safe approach is to keep ACV away from the window when you take thyroid medication and confirm the timing with your prescribing physician