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However, it also has been found to be associated with insulin resistance syndrome including obesity, fat distribution, hypertension, dyslipidemia, and cardiovascular disease [48]

(PubMed) Lynch KE, Feldman HI, Berlin JA, Flory J, Rowan CG, Brunelli SM

However, they suggest that ALCAR may be an important antidepressant therapy, either alone or in conjunction with other mood enhancers, especially in those with other medical conditions who may not tolerate high dose antidepressants

There is another class of medications that includes Proscar (finasteride) and Avodart (dutasteride) that has its own set of pros and cons