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Optimal dosage and length of treatment with carnitine supplementation in VPA-induced hyperammonemia and hypocarnitinemia, as well as predictability of carnitine deficiency-related symptoms, need to be clarified in future research to confirm our observation

(PubMed) Koenig JE, Spor A, Scalfone N, et al

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Dosage may be reduced to 0.5 mL weekly in patients experiencing gastrointestinal intolerance or increased to a maximum of 2 mL twice weekly for short-term metabolic intensification when supervised by a qualified clinician