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Although carnitine has been well tolerated, future studies are needed to evaluate the efficacy of prophylactic carnitine supplementation for the prevention of hepatotoxicity. 12 Some experimental and clinical data suggest that early intravenous supplementation with l-carnitine could improve survival in severe VPA-induced hepatotoxicity
However, the FDA does not review compounded medications for safety, effectiveness, or quality before they are marketed
consult a professional if concerns arise, and consider cycling off after ~8 weeks
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