Top 6 Safe and Effective Performance-Enhancing Supplements for Alcohol Addiction Recovery: A Quick Reference Guide

Article Snapshot

  • The six supplements covered in this guide are N-acetylcysteine (NAC), L-theanine, B vitamins, protein powder, magnesium and zinc.
  • Supplements do not treat alcohol dependence, prevent relapse or make alcohol withdrawal safe.
  • Thiamine, or vitamin B1, is medically important during alcohol withdrawal. The appropriate dose and form depend on nutritional status and clinical risk.
  • Nutrient deficiencies should be assessed rather than assumed. More is not always better, particularly with minerals.
  • Introduce one supplement at a time and check for interactions with medicines or health conditions.

When it comes to alcohol recovery, have you considered whether carefully chosen supplements could support the process?

Recovery can place substantial demands on the body. Long-term heavy drinking may displace nutritious food, reduce nutrient absorption, increase losses of certain nutrients and make consistent eating difficult. Early recovery may also involve disrupted sleep, anxiety, low appetite, fatigue and reduced physical capacity.

That is where supplements can sometimes play a supporting role. They may help correct a genuine deficiency, make adequate nutrition more achievable or assist with a clearly defined wellbeing goal.

However, supplements are not a cure for alcohol addiction. They should sit alongside appropriate medical care, counselling, peer support and prescribed treatment where needed.

This quick-reference guide focuses on the same six foundational options: NAC, L-theanine, B vitamins, protein powder, magnesium and zinc.

Supplements Are Not Alcohol Withdrawal Treatment

Alcohol withdrawal can be medically serious. Supplements cannot prevent withdrawal seizures, delirium tremens or other complications of suddenly stopping heavy, sustained alcohol use.

If you drink heavily or daily, have experienced withdrawal before, or are unsure whether you are physically dependent, speak with a GP, addiction medicine clinician or alcohol and other drug service before stopping. In an emergency in Australia, call 000.

The Australian Guidelines for the Treatment of Alcohol Problems specifically recommend thiamine for people undergoing alcohol withdrawal. The dose and route depend on nutritional status and clinical risk. Someone who is malnourished or showing signs of Wernicke’s encephalopathy may require injectable treatment rather than an over-the-counter tablet.

For a closer look at nutrition after long-term drinking, read Alcohol and Nutrition: Does Chronic Drinking Cause Nutrient Deficiency?.

1. N-Acetylcysteine (NAC)

N-acetylcysteine, usually shortened to NAC, provides cysteine that the body can use to produce glutathione, an important part of the body’s antioxidant defence system.

Alcohol metabolism can increase the production of reactive oxygen species and disrupt antioxidant balance. In a controlled rat study, Ozaras et al. (2003) found that NAC co-administration reduced several markers of alcohol-induced oxidative stress and liver injury. This supports the biological rationale for NAC, but it is preclinical evidence and cannot establish the same protective effect in people.

That distinction matters because human alcohol-recovery outcomes remain mixed. A 2026 systematic review of placebo-controlled trials found that NAC was generally well tolerated, but did not consistently improve the primary symptoms of alcohol use disorder or co-occurring post-traumatic stress disorder.

This means NAC may be considered as a supportive supplement in an individual plan, but it should not be presented as a reliable way to stop cravings, manage withdrawal or prevent relapse.

Optimal dose: Between 1,000 – 2,400 mg/daily.

Important limit: NAC is not a substitute for evidence-based alcohol treatment.

2. L-Theanine

L-theanine is an amino acid found naturally in tea. It is commonly marketed for calm focus because it may influence stress responses without acting like a strong sedative.

Evidence suggests the effect is modest and context-dependent. In a small randomised, placebo-controlled crossover trial of healthy adults, Hidese et al. (2019) found improvements in verbal fluency and executive-function measures after four weeks of L-theanine. A larger 2026 systematic review and meta-analysis also found a short-term attention benefit, while effects on stress and anxiety were less consistent.

This is relevant because focus and concentration can feel impaired during early sobriety, but neither study tested L-theanine as a treatment for alcohol recovery. It may help some people feel calmer or more focused, but it has not been established as a treatment for alcohol withdrawal, alcohol cravings, anxiety disorders or depression.

Research commonly uses approximately 200 milligrams, although study designs and populations vary. Start conservatively and discuss it with a health professional if you take prescription medicines, have low blood pressure, are pregnant or breastfeeding, or have a mental health condition requiring treatment.

Optimal dose: Between 200 – 400 mg/daily.

Important limit: Do not use L-theanine to delay appropriate care for severe anxiety, depression, insomnia or withdrawal symptoms.

3. B Vitamins

B vitamins help the body release energy from food and support the nervous system, blood-cell formation and many other essential processes.

Chronic alcohol consumption can affect the intake, absorption, storage and metabolism of several B vitamins. An updated review by Sandoval et al. (2022) describes how low levels of vitamins B1, B2, B6, B9 and B12 may occur through a combination of inadequate intake, reduced intestinal absorption, altered metabolism and decreased hepatic storage. The review also notes that evidence for broad vitamin supplementation strategies remains incomplete.

The most medically important B vitamin in alcohol withdrawal is thiamine, or vitamin B1. Thiamine deficiency can lead to Wernicke’s encephalopathy, a serious neurological condition. Warning signs can include confusion, poor coordination, unusual eye movements or vision changes. This requires urgent medical attention.

The Australian Guidelines for the Treatment of Alcohol Problems recommend thiamine for people undergoing alcohol withdrawal. The form, dose and duration depend on nutritional status and clinical risk. Oral thiamine may be suitable in some circumstances, while people with poor nutrition or suspected Wernicke’s encephalopathy may need intramuscular or intravenous treatment.

A general B-complex product may help when dietary intake has been poor, but it should not be treated as a replacement for properly assessed thiamine care. High-dose B-vitamin products can also cause problems when used unnecessarily or for long periods.

Important limit: Do not rely on a standard B-complex supplement to make alcohol withdrawal safe.

4. Protein Powder

Protein powder is essentially a convenient food product. It can help when appetite is low, time is limited or eating a full meal feels difficult.

This may be useful in recovery because prolonged heavy drinking can contribute to irregular meals, weight loss and loss of muscle mass. Adequate protein supports the maintenance and rebuilding of body tissue, and regular meals may also make daily energy and appetite feel more stable.

A systematic review and meta-analysis by Morton et al. (2018) found that protein supplementation produced modest additional gains in muscle mass and strength during resistance training, particularly when it helped participants reach an adequate total intake. The benefit is not unique to whey. Dairy, soy, pea and mixed proteins can all be useful depending on tolerance, preference and the rest of the diet.

For active adults, approximately 1.2 to 1.6 grams of protein per kilogram of body weight per day is a common general range. This is context rather than a personalised prescription.

Someone with kidney disease, significant liver disease, a medically restricted diet, swallowing difficulties or unexplained weight loss should seek individual advice before deliberately increasing protein.

Optimal intake: Between 1.2 – 1.6 grams of protein per kilogram of body weight per day.

Important limit: Protein powder does not directly treat alcohol cravings or repair the effects of alcohol use.

For practical guidance, see Protein Intake for Exercise, Protein Sources Guide and Whey Protein Explained.

5. Magnesium

Magnesium is involved in normal nerve and muscle function, energy production, blood-pressure regulation and hundreds of enzyme reactions.

People with alcohol dependence can be at greater risk of low magnesium because of poor dietary intake, gastrointestinal problems, increased urinary losses and co-existing health issues. The Pavuluri et al. (2022) case-control study also found significantly lower mean serum magnesium in its alcohol-dependence group than in controls. This makes magnesium worth assessing, particularly when food intake has been limited, while recognising that one observational study cannot establish cause or prove a benefit from supplementation.

However, symptoms such as anxiety, insomnia, fatigue or muscle cramps are not specific to magnesium deficiency. They can have many causes, including alcohol withdrawal itself. Feeling anxious after stopping alcohol does not automatically mean that a high-dose magnesium supplement is the answer (but it can help).

Optimal dose: Between 400 – 600 mg/daily.

Important limit: Magnesium does not prevent the dangerous complications of alcohol withdrawal.

For more detail, read Magnesium: Why This Mineral Matters for Energy, Stress, Sleep and the Nervous System.

6. Zinc

Zinc supports normal immune-cell development and signalling, wound healing, DNA synthesis, growth and many enzyme reactions. A review by Maywald and Rink (2022) describes zinc as essential to normal immune defence and explains how deficiency can impair immune responses. This does not mean that extra zinc will boost immunity when zinc status is already adequate.

Low zinc status may be more common in alcohol dependence. In a case-control study of 100 people with alcohol dependence syndrome and 100 controls, Pavuluri et al. (2022) found significantly lower mean serum zinc and magnesium levels in the alcohol-dependence group. Because this was an observational study from one hospital, it shows an association rather than proving that alcohol caused the difference or that supplementation improves recovery.

If zinc intake or status is low, improving food quality or using a carefully chosen supplement may help restore adequate levels. That is different from assuming that more zinc will automatically accelerate recovery, enhance performance or prevent infection.

Excessive zinc can cause nausea, vomiting and stomach discomfort. Long-term high intake may interfere with copper absorption and contribute to copper deficiency. Antibiotics and some other medicines can also interact with zinc supplements (so use with caution long term!).

Optimal dose: Daily intake is approximately 11 mg (males) and 8 mg (females).

Important limit: Avoid combining multiple products containing zinc without checking the total amount.

For more detail, read Zinc: Why It Matters for Immunity, Recovery and Overall Health.

The Takeaway

The six supplements in this guide each have a different potential role.

NAC supports glutathione production, although its alcohol-specific clinical evidence remains inconsistent. L-theanine may provide modest support for attention or stress in some people. B vitamins matter when intake or status is low, with thiamine requiring particular medical attention during alcohol withdrawal. Protein powder can make adequate nutrition easier. Magnesium and zinc may be useful when intake is inadequate or deficiency is present.

None of these supplements replaces treatment for alcohol dependence. None makes withdrawal safe. None can compensate for inadequate food, poor sleep or a lack of professional support.

Always address your foundations first and ensure they are rock solid. This means, rebuild a consistent diet, manage your stress well, and look after your sleep. Once these are established, you can begin to look at supplements as additional supporting tools for recovery.

Frequently Asked Questions

Can these six supplements treat alcohol addiction?

No. NAC, L-theanine, B vitamins, protein powder, magnesium and zinc may support specific nutritional or wellbeing needs, but they do not replace counselling, medical care, peer support or prescribed treatment for alcohol use disorder.

Which supplement is most important during alcohol withdrawal?

Thiamine, or vitamin B1, receives specific attention in Australian alcohol treatment guidance because deficiency can cause serious neurological harm. The appropriate form and dose depend on nutritional status and clinical risk, so it should be discussed with a healthcare professional.

Can NAC reduce alcohol cravings?

NAC has been studied for alcohol use disorder, but current findings are inconsistent. It should not be described as a proven craving treatment or used instead of established care.

Can L-theanine help with anxiety in early recovery?

L-theanine may modestly affect stress or attention in some people, but evidence for anxiety is inconsistent and it has not been established as a treatment for alcohol withdrawal or an anxiety disorder.

Do I need protein powder?

Not necessarily. Protein powder is useful when it helps you reach an adequate protein intake, but ordinary foods can meet the same need.

Should I take magnesium and zinc together?

They may be used together in appropriate amounts, but the total intake from every product should be checked. More is not better, and high doses can cause side effects or nutrient imbalances.

References

  • Ahmed, M. A. E., Amin, M., Abdalla, Y. E., Abdelghani, A., Eid, N., Samy, A., Kassar, O., Alsaadany, K. R., & Mansour, M. E. M. (2026). N-acetylcysteine for patients with alcohol use disorder, post-traumatic stress disorder, and their co-occurrence: A systematic review of placebo-controlled randomized trials. BMC Psychiatry, 26, 384. https://doi.org/10.1186/s12888-026-08124-8
  • Gerolymos, C., Saddier, E., Boyer, L., & Fond, G. (2026). Cognitive and affective effects of L-theanine: A systematic review and meta-analysis of 31 randomized trials. Molecular Psychiatry. Advance online publication. https://doi.org/10.1038/s41380-026-03727-9
  • Haber, P. S., & Lintzeris, N. (2021). Thiamine and other supplements. Guidelines for the Treatment of Alcohol Problems. https://alcoholtreatmentguidelines.com.au/chapter-8-alcohol-withdrawal/thiamine-and-other-supplements
  • Hidese, S., Ogawa, S., Ota, M., Ishida, I., Yasukawa, Z., Ozeki, M., & Kunugi, H. (2019). Effects of L-theanine administration on stress-related symptoms and cognitive functions in healthy adults: A randomized controlled trial. Nutrients, 11(10), 2362. https://doi.org/10.3390/nu11102362
  • Maywald, M., & Rink, L. (2022). Zinc in human health and infectious diseases. Biomolecules, 12(12), 1748. https://doi.org/10.3390/biom12121748
  • Morton, R. W., Murphy, K. T., McKellar, S. R., Schoenfeld, B. J., Henselmans, M., Helms, E., Aragon, A. A., Devries, M. C., Banfield, L., Krieger, J. W., & Phillips, S. M. (2018). A systematic review, meta-analysis and meta-regression of the effect of protein supplementation on resistance training-induced gains in muscle mass and strength in healthy adults. British Journal of Sports Medicine, 52(6), 376–384. https://doi.org/10.1136/bjsports-2017-097608
  • National Institutes of Health, Office of Dietary Supplements. (n.d.). Magnesium: Fact sheet for health professionals. https://ods.od.nih.gov/factsheets/Magnesium-HealthProfessional/
  • National Institutes of Health, Office of Dietary Supplements. (2025). Zinc: Fact sheet for health professionals. https://ods.od.nih.gov/factsheets/zinc-healthprofessional/
  • Ozaras, R., Tahan, V., Aydin, S., Uzun, H., Kaya, S., & Senturk, H. (2003). N-acetylcysteine attenuates alcohol-induced oxidative stress in the rat. World Journal of Gastroenterology, 9(1), 125–128. https://doi.org/10.3748/wjg.v9.i1.125
  • Pavuluri, P., Jangili, S., Ryakam, L., Vadakedath, S., Tummalacharla, S. C., Kondu, D., & Kandi, V. (2022). The activities of zinc and magnesium among alcohol dependence syndrome patients: A case-control study from a tertiary care teaching hospital in South India. Cureus, 14(4), e24502. https://doi.org/10.7759/cureus.24502
  • Sandoval, C., Farías, J., Zamorano, M., & Herrera, C. (2022). Vitamin supplements as a nutritional strategy against chronic alcohol consumption? An updated review. Antioxidants, 11(3), 564. https://doi.org/10.3390/antiox11030564

Digestive Health and Addiction: Why Gut Health Matters After Quitting Alcohol

Excessive alcohol intake is usually discussed in relation to the brain, liver, cravings, sleep and behaviour. But alcohol can also significantly impact our digestive system.

Digestive health influences how we break down food, absorb nutrients, eliminate waste and communicate with the nervous system. When digestion is poor, people may notice bloating, reflux, diarrhoea, constipation, nausea, low appetite or unpredictable hunger cues. Those symptoms can make early sobriety feel harder than it needs to.

This does not mean gut health is a long-term fix for addiction; sobriety is bigger than digestion alone.

In this article, we’ll unpack why digestive health matters after quitting alcohol, the significance of the Gut-Brain Connection, and tips to support our gut health when quitting alcohol.

Why Digestive Health Matters After Quitting Alcohol

The digestive system is responsible for breaking down food, absorbing nutrients and removing waste from the body.

When someone has been drinking heavily or frequently, nutrition often takes a hit. Meals may become inconsistent. Appetite can change. Alcohol may displace more nutrient-dense foods. Some people also experience digestive symptoms that make eating well more difficult.

This is why digestive health and nutrition become important when we look at addiction and sobriety.

If our gut health is irritated, inflamed or simply not functioning as it should, it can make it harder to replenish nutrients and support long-term sobriety.

For more on nutrient depletion and alcohol, read Alcohol and Nutrition: Does Chronic Drinking Cause Nutrient Deficiency?. If you are rebuilding meals, the Protein Sources Guide is a practical next step.

Understanding the Gut-Brain Connection

The gut and brain are in constant communication. This is often called the gut-brain axis.

That communication happens through the nervous system, immune signalling, hormones, microbial metabolites and inflammatory pathways. In plain English, the gut does not just digest food. It also sends and receives signals that can influence how the body feels.

The Two-Way Communication Pathway

Stress can affect digestion. Digestion can affect comfort, mood and energy. Anyone who has lost their appetite during anxiety or felt gut symptoms during stress has experienced this connection in a very practical way.

When quitting alcohol, this matters because the body and brain are both recalibrating. Sleep, cravings, blood sugar, appetite, mood and stress tolerance can be all shifting at once.

Research on the microbiome-gut-brain axis in substance-related disorders is still developing, but it is a meaningful area of interest. Fu et al. (2021) describe the gut-brain axis as a potential therapeutic research target in substance-related disorders, while also making it clear this is not a simple one-cause, one-cure relationship.

The Role of Gut Microbiota

The gut microbiota is the community of bacteria, fungi and other microorganisms living in the digestive tract. These microbes help with digestion, immune function, gut barrier health and the production of certain metabolites.

Alcohol can disturb this microbial balance, a pattern often called dysbiosis. A meta-analysis by Qamar et al. (2019) reviewed links between alcohol-induced gut dysbiosis and behavioural effects, including pathways connected to inflammation, mood and addiction biology.

The takeaway here is our gut health may influence how we feel in alcohol recovery.

For more on the brain side of addiction recovery, read Substance Abuse and Neurotransmitters.

How Alcohol Can Affect Digestive Health

Alcohol can affect the digestive system in several ways.

It may irritate the stomach lining, contribute to reflux or nausea, and worsen diarrhoea or abdominal discomfort in some people. Over time, heavier alcohol use can also affect the liver, pancreas and the broader gut-liver axis.

Alcohol can also influence the gut barrier. The gut lining is meant to be selectively permeable: it allows useful nutrients through while helping keep unwanted substances out. Chronic alcohol exposure has been linked with gut barrier disruption, increased intestinal permeability and gut-derived inflammation (Bishehsari et al., 2017).

This is one reason the term “leaky gut” appears so often online, you’ve probably seen it if you’ve rabbit-holed down the path of gut health before.

The phrase can be oversimplified at times, but the underlying research around alcohol, intestinal permeability, inflammation and microbiome changes are real. Wang et al. (2020) reviewed how alcohol addiction may interact with gut microbiota and inflammatory pathways.

This does not mean though that every digestive symptom after quitting alcohol is caused by the microbiome. Symptoms can have many causes, and persistent or severe symptoms deserve proper medical assessment.

If you are not sure what’s going on and digestion is a major issue for you, book a FREE discovery call here.

Supporting Digestive Health After Quitting Alcohol

There are many ways to support digestion after alcohol, but the best starting point is usually simple.

Rather than jumping straight to complicated supplement protocols, or comprehensive, often confusing diets, start with the foundations.

Eat a Balanced Diet

Aim for regular meals built around vegetables, fruit, wholegrains, legumes, adequate protein and healthy fats.

Fibre is especially useful because it supports bowel regularity and provides fuel for beneficial gut bacteria. Increase it gradually, especially if you are prone to bloating.

And no, this does not mean consuming copious amounts of Metamucil or Psyllium husk powder. This means a diverse range of fruit and vegetables too.

Protein also matters during recovery because it supports tissue repair, immune function, appetite regulation and neurotransmitter production. The Protein Intake for Exercise article explains this in more detail.

Use Fermented and Prebiotic Foods Carefully

Fermented foods may help some people support gut health. Options include yoghurt with live cultures, kefir, sauerkraut, kimchi, miso, tempeh and kombucha.

Prebiotic foods help feed beneficial gut bacteria. These include oats, legumes, onion, garlic, leek, asparagus, slightly green banana and some wholegrains.

These foods are useful, but they are not magic. Some people with reflux, bloating or histamine-type symptoms may not tolerate fermented foods well. Start small and pay attention to your own response.

Manage Stress

Stress can change appetite, gut motility, stomach comfort and bowel habits. This is why digestive support after alcohol is not only about food.

Helpful basics include eating slowly, chewing properly, walking after meals, reducing rushed eating, using breathing exercises, and getting support for anxiety or emotional stress when needed.

If cravings and triggers are part of the recovery picture, Identifying Triggers may help you think through the behavioural side more clearly.

Prioritise Sleep

Sleep is essential for recovery. Poor sleep can affect appetite, cravings, mood, blood sugar regulation and digestive comfort.

Good sleep does not fix everything, but it gives the nervous system a better foundation. Start with a consistent wake time, morning light, reduced late caffeine and a calmer evening routine. You can read more in Sleep Hygiene and Morning Sun and Circadian Rhythm.

Tips to Support Your Gut Post-Alcohol

Start with a plan that is boring enough to follow:

  • Eat regular meals instead of skipping food and grazing randomly.
  • Include protein at breakfast, lunch and dinner.
  • Increase fibre slowly through vegetables, oats, legumes, berries and wholegrains.
  • Drink enough water across the day.
  • Be mindful of alcohol replacements such as excess sugar, soft drink, energy drinks or too much caffeine.
  • Add fermented foods only if you tolerate them well.
  • Walk after meals when possible.
  • Get medical help if symptoms are severe, persistent or unusual.

It is also important to seek medical advice before suddenly stopping alcohol if you have been drinking heavily or daily. Alcohol withdrawal can be dangerous for some people and may need supervised care.

When to Get Help

Digestive changes can happen after quitting alcohol, but not everything should be brushed off as recovery.

Speak with a doctor or qualified health professional if you notice blood in the stool, black stools, ongoing vomiting, severe abdominal pain, unexplained weight loss, persistent diarrhoea or constipation, yellowing of the skin or eyes, difficulty swallowing, dehydration, or symptoms that do not settle with basic changes.

The Takeaway

Good digestive health can support the bigger recovery picture after quitting alcohol.

Alcohol may affect the stomach lining, gut microbiome, intestinal barrier, inflammation and nutrient absorption. Recovery gives the body a chance to rebuild, but the basics still matter: regular meals, enough protein, gradual fibre intake, hydration, sleep, stress management and proper care when symptoms need attention.

You do not need a perfect gut health protocol. Start with simple, consistent habits and build from there.

If you are rebuilding your health after alcohol and want help making sense of nutrition, recovery habits and sustainable lifestyle change, Stephen can help you take a practical, evidence-informed approach that fits real life.

FAQ

Can quitting alcohol improve digestion?

Of course it can! Many people notice digestion improves after reducing or stopping alcohol, especially if alcohol was contributing to reflux, nausea, diarrhoea, poor appetite or gut irritation. The timeline varies.

How does alcohol affect the gut microbiome?

Alcohol may alter the balance of gut microbes and contribute to dysbiosis, particularly with heavier or chronic intake. It can also affect the gut lining, immune signalling and inflammation.

Are probiotics useful after quitting alcohol?

They may help some people, but they are not a guaranteed fix. Food quality, fibre intake, sleep, stress and overall health habits are usually a better starting point. If in doubt, it’s always best to consult with a Nutritionist, Naturopath or Health Professional (like myself!).

Is gut health linked to cravings?

The gut-brain axis is an active area of addiction research, but I couldn’t definitively say that gut health = impact alcohol cravings alone. Better nutrition and digestion may support mood, energy and stability, which can help the broader alcohol recovery process.

References

Bishehsari, F., Magno, E., Swanson, G., Desai, V., Voigt, R. M., Forsyth, C. B., & Keshavarzian, A. (2017). Alcohol and gut-derived inflammation. Alcohol Research: Current Reviews, 38(2), 163-171. https://pmc.ncbi.nlm.nih.gov/articles/PMC5513683/

Engen, P. A., Green, S. J., Voigt, R. M., Forsyth, C. B., & Keshavarzian, A. (2015). The gastrointestinal microbiome: Alcohol effects on the composition of intestinal microbiota. Alcohol Research: Current Reviews, 37(2), 223-236. https://pmc.ncbi.nlm.nih.gov/articles/PMC4590619/

Fu, X., Chen, T., Cai, J., Liu, B., Zeng, Y., & Zhang, X. (2021). The microbiome-gut-brain axis, a potential therapeutic target for substance-related disorders. Frontiers in Microbiology, 12, 738401. https://doi.org/10.3389/fmicb.2021.738401

Qamar, N., Castano, D., Patt, C., Chu, T., Cottrell, J., & Chang, S. L. (2019). Meta-analysis of alcohol induced gut dysbiosis and the resulting behavioral impact. Behavioural Brain Research, 376, 112196. https://doi.org/10.1016/j.bbr.2019.112196

Wang, S.-C., Chen, Y.-C., Chen, S.-J., & Lee, C.-H. (2020). Alcohol addiction, gut microbiota, and alcoholism treatment. International Journal of Molecular Sciences, 21(17), 6413. https://pmc.ncbi.nlm.nih.gov/articles/PMC7504034/

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