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Nutrition Research, 85: 84-98, ISSN: 0271-5317

One review recommended the following regimen for patients with valproic acid overdose: 100 mg/kg IV loading dose followed by 50 mg/kg (maximum of 3 grams) IV every 8 hours until the ammonia levels are decreasing and the patient is improving [3]

Makridakis N, Ross RK, Pike MC, Chang L, Stanczyk FZ, Kolonel LN, Shi CY, Yu MC, Henderson BE, Reichardt JK

The twist is that a subset of gut bacteria can chew on L-carnitine and related nutrients and make a small volatile compound called trimethylamine or TMA