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Serotonin syndrome symptoms may include mental status changes (e.g., agitation, hallucinations, delirium, and coma), autonomic instability (e.g., tachycardia, labile blood pressure, dizziness, diaphoresis, flushing, hyperthermia), neuromuscular symptoms (e.g., tremor, rigidity, myoclonus, hyperreflexia, incoordination), seizures, and/or gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea)

Summary ALA and ALC have demonstrated safe and significant improvement in neuropathic pain management in RCTs, with favorable side effect profiles primarily when used for DPN

6 Diagnosis and Treatment Diagnosis The diagnosis of diabetic neuropathy is typically based on the presence of characteristic symptoms as well as findings on a physical exam (Feldman 2012c

Carnitine also plays an important role in other diseases associated with depression, like multiple sclerosis (MS), neuromyelitis optica (NMO), and HIV infection

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