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Because ALCAR contributes to cellular energy metabolism in the brain, spinal cord and peripheral nerves, it is also used to support neurological function, nerve signal transmission and mental focus

For perimenopause specifically, hormonal fluctuation drives many of the most disruptive symptoms estrogen can spike and crash erratically, which is why some patients feel worse in early perimenopause than in full menopause

doi: 10.1002/biof.1476 251 SealeL

If the opening pressure is increased, CSF may be removed for transient relief (see below)

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