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Discussion Our clinical trial, which was carried out in critically ill patients, demonstrated a statistically significant reduction in INR, Cr, ALT, and lactate and significant increases in Ca, Alb, and total protein, following l-carnitine supplementation, in comparison with the placebo group

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Our study was conducted in a single center

J Child Neurol 10:S8S24 Duranay M, Akay H, Yilmaz FM, Senes M, Tekeli N, Ycel D (2006) Effects of l-carnitine infusions on inflammatory and nutritional markers in haemodialysis patients

A metabolite of valproic acid, thought to be propionic acid, has the ability to increase ammonia levels by inhibiting a step in the hepatic urea cycle, which may lead to valproic acid-induced hyperammonemic encephalopathy

In supplement content, it is strongest when discussed around recovery, immune resilience and gut-barrier support rather than direct fat loss
