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Carnitine deficiency has been widely reported in patients with epilepsy being treated with valproic acid and there have been reports that carbamazepine and phenobarbital may also deplete carnitine levels especially if used in combination with valproic acid
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However, the ~16% difference in elevation of muscle carnosine between the two formulations did not reach statistical significance, perhaps due to the small sample size or the short supplementation period
Due to financial and time constraints, it was not possible to take L-carnitine supplementation for at least 3 months before the ART cycle, so it can be the limitation of the present study
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