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(PubMed) Tian G, Sawashita J, Kubo H, et al

[18] Impaired reabsorption : There is the natural process by which carnitine is retained and recycled in the body, versus being lost in the urine

Hyperammonemia has been reported in association with valproate therapy and may be present despite normal liver function tests

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It is generated in cells during various metabolic processes, primarily as a byproduct of the electron transport chain in mitochondria
