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These ingredients have been used alone or together, sometimes referred to as PCDC injections. These ingredients pose a significant safety risk because they are unapproved, which means the FDA has not evaluated their safety or effectiveness

A literature review of CMMT reports identified across PubMed, Web of Science, Embase, and Scopus was also conducted

In this case, using 2mL of water is an excellent option

While we observed no differences in the change in seizure severity between patients with hypocarnitinemia and normal free carnitine levels, Table 2 illustrates that 80% of our patients undergoing MAD reported less severe seizures or complete seizure freedom at the first timepoint, 85% at the second timepoint, and 86% at the third timepoint