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In the medical journal Insights into imaging , researchers wrote of the four factors associated with the degenerative changes of the spine that cause spinal canal stenosis: disc herniation

Excess citrate is used to transport acetyl-CoA carbons from the mitochondrion to the cytoplasm where they can be used for fatty acid synthesis and cholesterol biosynthesis

NAC is an antioxidant and amino acid, which helps protect against free radical damage and oxidative stress

Because the formula contains a significant dose of Omega-3 fatty acids (which have mild blood-thinning properties) and Vitamin E, individuals taking prescription anticoagulants (like warfarin) or antiplatelet medications should consult their physician, as the combination may increase the risk of bleeding