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This is particularly true during growth and pregnancy

Ataxia Ataxia, defined as impaired coordination of voluntary muscle movements, is a neurological disorder characterized by varying degrees of dysfunction in the cerebellum or connected pathways, resulting in abnormalities in balance and coordination [23,24]

the active components of this invention are ordinarily combined with one or more excipients appropriate to the indicated route of administration

From animal studies, its also clear that L-carnitine can stimulate protection from toxins in the liver

doi: 10.1093/humrep/16.11.2338

For example, valproic acid used to support dogs with seizures, can potentially interact with L-carnitine so its worth avoiding this combination