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Severe side effects may be seen in up to 5% of treated cats and necessitate withdrawal of therapy before an alternative treatment is started

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While it has been proven that Epitalon exhibits inter alia direct eects on melatonin synthesis, aects the mRNA levels of interleukin-2, modulates the mitogenic activity of murine thymocytes, and increases the activity of multiple enzymes such as AChE, BuChE, and telomerase, it is currently not known if these are the only routes of action of this compound

Ethics declarations Human and Animal Rights and Informed Consent This article is a narrative review of previously published studies