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PMID 23734766

L-carnitine calcium fumarate A mixture of fumaric acid (0.35 g, 0.003 mol), calcium hydroxide (0.22 g, 0.003 mol) and L-carnitine (0.5 g, 0.003 mol) was dissolved in water (5 mL) and stirred and heated at 80 C

The cause of endolymphatic hydrops is unclear, and while all patients with Mnire disease have endolymphatic hydrops, not all patients with endolymphatic hydrops have Mnire disease, which has led to the suggestion of an array of possible causes including genetic predisposition, viral infection, and multiple other biochemical and immune factors

However, combined therapy with currently available drugs seems to be currently underexplored as a therapeutic option and, in our opinion, requires more research efforts