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When the cumulative concentration of glutaric acid exceeds 23 times the plasma concentration, neurotoxicity and striatal neuron damage can occur, which may be related to excitotoxicity and oxidative stress [65, 66]

The weekly injection day can be changed if necessary, provided there are at least 72 hours between doses

2017;1859(9 Pt B):15581572, 10.1016/j.bbamem.2017.04.006 33

Ingredients: Water, L-Carnitine L-Tartrate, Acid (Citric acid), Acids (Citric acid, Tartaric acid, Malic acid), L-ascorbic acid, Preservatives (Potassium sorbate, Sodium benzoate), Sweeteners (Acesulfame-K, Sucralose), Flavourings, Thiamine Hydrochloride, D-pantothenate calcium, Colours (Caramel, Ponceau 4R**), Pyridoxine hydrochloride.**Ponceau 4R May have an adverse effect on activity and attention in children

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Strengths of this study include its broad, real-world sample and its ability to capture underrepresented voices that are not often seen in clinical trials