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ALA targets neurotrophic factors such as nerve growth factor and metabotropic glutamate receptors through epigenetic mechanisms [72]

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3.2 Carnitine deficiency across the course of diet therapy Of the 47 patients with a normal free carnitine level at baseline prior to starting MAD, 18 (38.3%) patients developed free carnitine deficiency during the course of diet therapy

Safety Considerations and Potential Side Effects L-carnitine injections are generally considered safe for most healthy adults when used at recommended doses under the supervision of a healthcare professional