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Raskind et al[18] extensively reviewed the pathophysiology and significance of VPA-induced carnitine deficiency and evaluated the literature pertaining to carnitine supplementation during VPA therapy in children, and concluded that despite the lack of prospective, randomized clinical trials, a few studies have shown carnitine supplementation in patients receiving VPA result in subjective and objective improvements along with increases in carnitine serum levels

Biomed Pharmacother 149:112828 Quan Y, Ren H, Liu S et al (2025) Identification and molecular mechanism of novel antioxidant peptides from tiger nut ( Cyperus esculentus L)

This phenomenon is not entirely limited to TNF inhibitors