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The patient showed intolerance to ready-made ketogenic products, so her primary source of nutrition was blenderized KD in a 2:1 ratio
Discuss with your endocrinologist If you have a seizure history: high-dose L-carnitine has been associated with increased seizure frequency in susceptible individuals in rare reports A 2013 Cleveland Clinic study raised concern about gut bacteria converting L-carnitine to TMAO (trimethylamine N-oxide), a compound associated with cardiovascular risk
Malaguarnera M, Gargante MP, Russo C, Antic T, Vacante M, Malaguarnera M, Avitabile T, Li Volti G, Galvano F
Your doctor will provide specific recommendations
For example, given the inconsistency in the prevalence estimates of mitochondrial disease and dysfunction across studies (ranging from about 580%), the notion that mitochondrial abnormalities are even associated with ASD is somewhat controversial
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