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After consultation of the neurologist, phenytoin and valproate were started, and when there was no improvement levetiracetam was added

Moreover, it is not known if S-5-HT mediated the effects of L-carnitine on fatigue, as it is possible that L-carnitine could have effects unrelated to S-5-HT that could reduce fatigue and in parallel promote increased synthesis of peripheral 5-HT

Mercadal, L., Coudert, M., Vassault, A., Pieroni, L., Debure, A., Ouziala, M., Depreneuf, H., Fumeron, C., Servais, A., Bassilios, N., Becart, J., Assogba, U., Allouache, M., Bouali, B., Luong, N., Dousseaux, M

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Effect of intravenous L-carnitine on carnitine homeostasis and fuel metabolism during exercise in humans

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