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In the largest observational study of 101 adult patients nave to diet therapy who subsequently started the MAD, 39% had 50% seizure reduction and 22% became seizure free following 3 months of treatment (23)

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The mechanism by which TMAO promotes the complex pathological processes of atherosclerosis is gradually being elucidated and includes cholesterol accumulation, activation of pro-inflammatory pathways, endothelial dysfunction, and thrombosis (62) ( Figure 3 )

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Semaglutide: Begin at 0.25mg subcutaneously weekly, increasing to 0.5mg at week 4, then to 1mg at week 8, with potential escalation to 2.5mg for weight management

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[] L-carnitine and acetyl-L-carnitine have the potential to ameliorate abnormal sperm morphology, enhance spermatozoa motility, and improve overall fertility outcomes

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