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"L-carnitine for valproic acid overdose: systematic review." Ann Pharmacother 2010;44:1287-93

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During ischemic events, carnitine prevents fatty acid ester accumulation, which can lead to fatal ventricular arrhythmias [3][33][34]

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Hormone-Related Side Effects Sprintec's higher estrogen dose (35 mcg) compared to Junel Fe (30 mcg) may increase the risk of estrogen-related side effects such as headaches or blood clots, especially in smokers over 35 or those with certain medical conditions