Carnitine The use of L-carnitine in MD patients is attractive on the theoretical level, because it is well known that patients undergoing MD usually have low serum free L-carnitine concentrations and that skeletal muscle carnitine is sometimes decreased
While having to use a needle might have been a deal killer not that long ago, consumer habits seem to have changed
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However, this therapy does not lower the levels of the intermediate metabolite, GAA, seen with GAMT deficiency
So, for example, if you made a change and then something improved, look at everything that changed and were they all overlapping, in which case it's kind of hard to figure out what it is, or is there a distinct association, time-wise, between something changing and something improving