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tract and fluctuation in valproate plasma concentrations vary with dosing regimen and formulation, the efficacy of valproate as an anticonvulsant in chronic use is unlikely to be affected

Int J Mol Sci 15:34813494 Siegner R, Heuser S, Holtzmann U, Shle J, Schepky A, Raschke T, Stb F, Wenck H, Winnefeld M (2010) Lotus leaf extract and L-carnitine influence different processes during the adipocyte life cycle

[3] Given its key metabolic roles, carnitine is concentrated in tissues like skeletal and cardiac muscle that metabolize fatty acids as an energy source

Liu Y, Lee JM, Lee C

However, current guidelines do not recommend L-carnitine for cancer-related fatigue (Bower 2024, S3-Leitlinie) and advise against its use for preventing chemotherapy-induced peripheral neuropathy (Loprinzi 2020, Lyman 2018)