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[4] Ringseis et al. Low availability of carnitine precursors as a possible reason for the diminished plasma carnitine concentrations in pregnant women. BMC Pregnancy Childbirth. 2010 Apr 25;10:17. doi: 10.1186/1471-2393-10-17

If the pH is higher than 8, L-Carnitine will deteriorate (optimal pH 3.5-8)

The Canadian journal of urology

# of seizures and seizure severity reduction, increase, and no change is determined by comparison to previous timepoint

If clinical signs like increased IOP have already developed, but there are still no noticeable symptoms, it is even more important to act quickly to prevent disease progression