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31P-MRS study of acetyl-L-carnitine treatment in geriatric depression: preliminary results

There is a precedent to that in patients who have gastric band surgery

When to See a Doctor (Red Flags) Absolute, immediate emergency medical evaluation is mandated if the throat tightness exhibits specific clinical red flags. If the restrictive sensation is accompanied by rapid, visible swelling of the lips, tongue, or face, severe wheezing, stridor (a high-pitched whistling sound when breathing in), or a sudden drop in blood pressure, you are experiencing catastrophic allergic anaphylaxis and require an immediate epinephrine injection

Discussing with your doctor will help to adjust dosage and timing