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We dont include any DHT blockers (like Finasteride), either

Epigenetic modifications refer to the regulation of gene expression through chemical modifications without altering the DNA sequence

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Seizures : An increase in the number or seriousness of seizures has been reported in people with a history of seizures who have used L-carnitine by mouth or by IV (intravenously)

And that's the only thing that has been available for the last 60, 70 years