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In practice, if a therapy is considered, success should be defined with measurable endpointssleep quality, function, waist circumference/body composition (when appropriate), and metabolic markersrather than vague claims alone

Stop Taking the Medication (Under Medical Guidance): Do not discontinue any prescribed medication without consulting your doctor

Results At baseline, no significant difference in age, gender, etiology, branched-chain amino acid administration, and serum total carnitine level between the two groups (Table 1)