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This is not a prescription medication but should be discussed if you take other medications

This is a huge topic Causes of oxidative stress that have research directly linking them to increased nitric oxide or decreased BH4 include: BPA (a component of some plastics)[ref] Aluminum (also inhibits DHPR in BH4 recycling)[ref] Perfluorinated substances (PFAS, PFOAs)[ref] Vaccination ( Salmonella typhi vaccine)[ref] Chemotherapy [ref] Interferon-alpha treatment[ref] Arthritis and rheumatic diseases[ref] Persistent viral infection, such as in some long Covid patients, hepatitis C[ref][ref] Smoking[ref] An animal study that used a mouse model with genetically reduced GCH1 enzyme found that low BH4 also decreases Nrf2 activation

Pregnancy Safe when prescribed by an expert: Lacarnit 330 Tablet is generally considered safe to use during pregnancy