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PMID: 52 TangCPClarkOFerraroneJRCamposCLalaniASChoderaJDet al

Some studies suggest that lactate is a more efficient energy substrate than glucose, with evidence indicating that neurons generate energy more effectively when utilizing lactate (Dienel 2019)

Ashwagandha sometimes is better tolerated (it works more on GABA and cortisol), but some slow COMT individuals even find ashwagandha stimulating or too much. Ginseng (especially Panax ginseng) can raise dopamine and adrenalinelikely not ideal for slow COMT

1 factors that increase the risk of acetaminophen toxicity Decreased hepatic capacity for glucoronidation Gilberts disease Zidovudine, trimethoprim/sulfamethoxazole Inducers of CYP2E1 (increase metabolism of acetaminophen into toxic NAPQI) Isoniazid Rifampicin, phenobarbital Phenytoin, phenobarbital Hepatic depletion of glutathione Chronic alcohol ingestion Chronic acetaminophen use Chronic liver disease Malnutrition clinical evolution Toxicity is typically divided into stages, but this may not work perfectly in every patient (especially in patients who ingested several doses of acetaminophen over time)