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Because adequate, well-controlled studies in pregnant individuals are lacking, use should be limited to circumstances in which the potential maternal benefit clearly outweighs theoretical fetal risk-such as treatment of documented systemic carnitine deficiency

Petersburg Institute of Bioregulation and Gerontology, Epitalon is derived from Epithalamin , a natural peptide complex extracted from the pineal gland an endocrine organ responsible for regulating circadian rhythms and hormonal cycles Khavinson, Biogerontology , 2003

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There isnt enough reliable information available to determine its safety during pregnancy and breastfeeding

Patients following such a diet, should be advised to take oral vitamin B 12 regularly